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Muscle tissue H2O, Na, K, Mg, Cl and total P were studied in 23 patients with acute hypophosphatemia during P-deficient total parenteral nutrition. Increased muscle extracellular water and low intracellular K and Mg with high intracellular Na were found. These abnormalities were detected either in previously underfed patients with low muscle P or in well-nourished, acutely ill subjects with muscle P near to normal. These findings show that acute depletion of extracellular inorganic P is associated with changes of muscle cell composition independently of muscle cell P content.
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