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Prim Care. 2008 Jun;35(2):215-37, v-vi. doi: 10.1016/j.pop.2008.01.007.

Disorders involving calcium, phosphorus, and magnesium.

Author information

  • 1Department of Medicine, Division of Nephrology, Indiana University School of Medicine, 1001 West 10th Street, OPW 526, Indianapolis, IN 46202, USA. smoe@iupui.edu

Abstract

Disorders of mineral metabolism are common in both the office and hospital setting. The diagnosis can be simplified by remembering the target organs involved--intestine, kidney, and bone--and by assessing the presence of kidney disease, levels of parathyroid hormone, and vitamin D status. Although the list of possible causes for these derangements is long, most patients who have hypercalcemia have hyperparathyroidism or malignancy; those who have hypocalcemia, hypophosphatemia, and hypomagnesemia have reduced gastrointestinal absorption, and those who have hyperphosphatemia and hypermagnesemia have increased intake in the setting of kidney disease.

PMID:
18486714
[PubMed - indexed for MEDLINE]
PMCID:
PMC2486454
Free PMC Article
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