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Hyperphosphatemia
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==Causes== {| class="wikitable" |- | Impaired renal phosphate excretion<ref name=Har18>Longo et al., Harrison's Principles of Internal Medicine, 18th ed., p.3089</ref> || * [[Renal insufficiency|Decreased kidney function]] * [[Hypoparathyroidism|Low parathyroid hormone]] ** Developmental ** Autoimmune ** After neck surgery or radiation ** Activating mutations of the calcium-sensing receptor * Parathyroid suppression ** Parathyroid-independent hypercalcemia *** [[Hypervitaminosis D|Vitamin D]] or [[Hypervitaminosis A|vitamin A intoxication]] *** [[Sarcoidosis]], other granulomatous diseases *** Immobilization, osteolytic metastases *** [[Milk-alkali syndrome]] ** Severe [[hypermagnesemia]] or [[hypomagnesemia]] * [[Pseudohypoparathyroidism]] * [[Acromegaly]] * Tumoral calcinosis * [[Heparin]] therapy |- | Massive extracellular fluid phosphate loads<ref name=Har18/> || * Rapid administration of exogenous phosphate (intravenous, oral, rectal) * Extensive cellular injury or necrosis ** [[Crush injury|Crush injuries]] ** [[Rhabdomyolysis]] ** [[Hyperthermia]] ** [[Fulminant hepatitis]] ** Cytotoxic therapy ** Severe [[hemolytic anemia]] * Transcellular phosphate shifts ** [[Metabolic acidosis]] ** [[Respiratory acidosis]] |} [[Hypoparathyroidism]]: In this situation, there are low levels of [[parathyroid hormone]] (PTH). PTH normally inhibits reabsorption of phosphate by the kidney. Therefore, without enough PTH there is more reabsorption of the phosphate leading to a high phosphate level in the blood.{{citation needed|date=June 2022}} [[Chronic kidney failure]]: When the kidneys are not working well, there will be increased phosphate retention.{{citation needed|date=June 2022}} Drugs: hyperphosphatemia can also be caused by taking oral sodium phosphate solutions prescribed for bowel preparation for [[colonoscopy]] in children.
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