We report the case of a patient with vitamin-D resistant rickets who became hypertensive, overweight and hypernatremic during the first months of therapy with phosphate supplementation (Joulie solution). We have found an extracellular volume overload (low renin - low aldosterone secretion, high GFR, in high diastolic blood pressure) and a direct relationship between phosphate supplementation and the hemodynamic situation. Owing to the high sodium supplementation we gave with Joulie solution, we support the hypothesis for the need for a low sodium diet during the therapy with phosphate supplementation in vitamin-D resistant rickets.
|Translated title of the contribution||Study of hydro-saline metabolism during phosphate therapy in a subject with vitamin-D resistant rickets|
|Number of pages||5|
|Journal||Pediatria Medica e Chirurgica|
|Publication status||Published - 1980|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health