Dyspnea and Generalized Paresthesias Due to a Rare Metabolic Disorder

We present a patient with severe hypophosphatemia related hypoxic respiratory failure resolving with phosphate replacement.

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1. Storm TL. Severe hypophosphataemia during recovery from acute respiratory acidosis. Br Med J (Clin Res Ed) 1984; 289(6443):456-7.

2. Oud L. Transient hypoxic respiratory failure in a patient with severe hypophosphatemia Med Sci Monit. 2009;15:CS49-53.

3. Varsano S, Shapiro M, Taragan R, Bruderman I. Hypophosphatemia as a reversible cause of refractory ventilatory failure. Crit Care Med. 1983;11(11):908-9.

4. Ritz E. Acute hypophosphatemia. Kidney Int. 1982;22(1):84-94.

5. Kilic O, Demirkol D, Ucsel R, Citak A, Karabocuoglu M. Hypophosphatemia and its clinical implications in critically ill children: a retrospective study. J Crit Care. 2012;27(5):474-9.