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[Magnesium and phosphorus--the forgotten electrolytes].

B Truniger, I Banz

    Schweizerische Medizinische Wochenschrift
    |November 5, 1983
    PubMed
    Summary

    Magnesium and phosphorus are often overlooked electrolytes. Deficits in these minerals are more clinically significant than excesses, impacting nearly every organ and requiring a high index of suspicion for timely diagnosis and treatment.

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    Area of Science:

    • Clinical biochemistry
    • Electrolyte balance
    • Mineral metabolism

    Context:

    • Magnesium and phosphorus are frequently overlooked in routine clinical practice, despite their critical roles.
    • Understanding their balance is crucial for diagnosing and managing various medical conditions.

    Purpose:

    • To discuss the clinical significance, pathophysiology, and epidemiology of magnesium and phosphorus imbalances.
    • To highlight the greater clinical importance of deficits compared to excesses for these electrolytes.

    Summary:

    • Both magnesium and phosphorus deficits are clinically more significant than excesses.
    • Key factors influencing body stores include dietary intake, gastrointestinal and renal losses, and fluid shifts.
    • Clinical signs of imbalance can be nonspecific, particularly in phosphorus deficiency, affecting multiple organ systems.

    Impact:

    • Emphasizes the importance of timely diagnosis of magnesium and phosphorus deficits, which are easily treatable with rapid, low-risk interventions.
    • Highlights the need for a high index of suspicion among healthcare professionals to identify these 'forgotten electrolytes'.

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