HYPOPHOSPHATEMIA IN END-STAGE RENAL-DISEASE

A case of hypophosphatemia in a 55-year-old black female on maintenanc e hemodialysis is described. She developed multiple bone fractures and congestive heart failure during her 10-year period on hemodialysis. I liac crest bone biopsy revealed osteomalacia with absent aluminum stor es. Management was difficult due to her noncompliance secondary to sev ere depression. Though osteomalacia and cardiomyopathy due to hypophos phatemia are described in patients with end stage renal disease on dia lysis, it is an uncommon entity.