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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

SAPUNAR Z, Jorge; ROA S, Juan Carlos  and  MOSCOSO A, Susana. Reversion of hypophosphatemia after the excision of a composite hemangioendothelioma in a great toe. Report of one case . Rev. méd. Chile [online]. 2003, vol.131, n.8, pp.909-914. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872003000800011.

We report a 43 years old male admitted to the hospital for progressive lumbar pain, lasting 20 years, that caused severe disability. On admission the patient had a serum phosphate of 2 mg/dl, an urine phosphate excretion over 300 mg/dl and serum alkaline phosphatases over 750 U/L. Serum intact parathormone was normal and tubular maximum phosphorus/glomerular filtration was 0.7 mg/dl. Bone scintigraphy showed an increased radionuclide uptake in condro-costal joints. Bone densitometry showed femoral osteoporosis. A violet colored mass was detected in a great toe. It was removed and the pathological diagnosis was a composite hemangioendothelioma. After tumor excision, serum phosphate levels returned to normal values and symptoms disappeared within 15 days (Rev Méd Chile 2003; 131: 909-14)

Keywords : Hemangioendothelioma; Hypophosphatemia; Phosphoric acid esters.

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