Hypophosphatemia is seen in –
**Core Concept**
Hypophosphatemia refers to an abnormally low level of inorganic phosphate in the blood. This condition can result from various factors, including inadequate dietary intake, excessive excretion, or increased cellular uptake of phosphate. Rickets, a disorder of bone mineralization, is characterized by softening of the bones due to impaired phosphate and calcium metabolism.
**Why the Correct Answer is Right**
Rickets is caused by a deficiency of vitamin D, which plays a crucial role in phosphate absorption from the gut. Vitamin D deficiency leads to impaired intestinal absorption of phosphate, resulting in hypophosphatemia. This condition is often seen in children with inadequate vitamin D intake or sunlight exposure, leading to impaired bone mineralization and characteristic features of rickets, such as bowed legs and softening of the skull.
**Why Each Wrong Option is Incorrect**
**Option A:** Pseudohypoparathyroidism is characterized by resistance to parathyroid hormone, leading to hyperphosphatemia due to impaired renal excretion of phosphate, not hypophosphatemia.
**Option B:** Chronic Renal Failure (CRF) typically leads to hyperphosphatemia due to impaired renal excretion of phosphate, rather than hypophosphatemia.
**Option D:** Hyperparathyroidism is characterized by excess parathyroid hormone, leading to hyperphosphatemia due to increased renal excretion of phosphate, not hypophosphatemia.
**Clinical Pearl / High-Yield Fact**
It is essential to note that hypophosphatemia can also occur in other conditions, such as malnutrition, gastrointestinal disorders, and certain medications. A thorough evaluation of the patient's medical history, dietary intake, and laboratory results is necessary to determine the underlying cause of hypophosphatemia.
**β Correct Answer: C. Rickets. Rickets is a disorder of bone mineralization characterized by impaired phosphate metabolism and softening of the bones.**