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CASE REPORTS
JOURNAL ARTICLE
Panic-related hyperventilation resulting in hypophosphataemia and a high lactate.
BMJ Case Reports 2013 May 10
A 22-year-old lady presented to the emergency department with dyspnoea and pleuritic chest pain. Life-threatening asthma, pulmonary embolus and pneumothorax were all excluded. However, investigations did show an unexplained hypophosphataemia and raised lactate, both of which were subsequently attributed to hyperventilation with a component of panic. Here we explore the mechanism of these findings and the management of hypophosphataemia.
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