| アブストラクト | Intravenous iron replacement therapy is a common treatment for iron deficiency. Commonly used agents in this treatment include ferric carboxymaltose, ferric derisomaltose, and saccharated ferric oxide (SFO). These drugs are known to elevate fibroblast growth factor 23 levels, resulting in hypophosphatemia, but in past reports, hypophosphatemia attributable to SFO treatment has been associated mainly with prolonged administration over several weeks. The present study details our experience of a case of moderate hypophosphatemia (<2 mg/dL) in a 22-year-old woman who had no specific history of hypophosphatemia during the first 5 days of SFO treatment, and showed an increase in intact fibroblast growth factor 23 levels within the first week of treatment. Cases of hypophosphatemia have been reported as occurring as early as 1 week after the start of SFO administration in the Japanese Adverse Drug Event Report database. These cases, along with our case, underline the need for awareness of the possibility of hypophosphatemia from the early stage of SFO administration, regardless of the patient's age or dosage, as well as the need to monitor patients to prevent complications. |
|---|
| ジャーナル名 | Bone reports |
|---|
| Pubmed追加日 | 2024/4/8 |
|---|
| 投稿者 | Kinoshita, Teruhisa; Kondo, Yuki; Sakazaki, Yuka; Imaizumi, Hiroki; Takimoto, Norio; Ishitsuka, Yoichi |
|---|
| 組織名 | Department of Pharmacy, Kariya Toyota General Hospital, 5-15 Sumiyoshi-cho,;Kariya, Aichi 448-8505, Japan.;Department of Clinical Chemistry and Informatics, Graduate School of;Pharmaceutical Sciences, Kumamoto University, 5-1 Oehonmachi, Chuo-ku, Kumamoto;862-0973, Japan.;Department of Anesthesia, Kariya Toyota General Hospital, 5-15 Sumiyoshi-cho, |
|---|
| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/38584682/ |
|---|
