Cancer agents and Electrolyte Disorders
• Hypocalcemia: Cisplatin from Low Mg, Cetuximab- due to low Mg
Axitinib, Regorafenib
• Hypophosphatemia: Ifosfamide - Fanconi syndrome, Imatinib- Secondary Pth, BRAF inhibitors, Sorafenib- vit D mediated, Regorafenib
• Hypomaqnesemia: Cisplatin- renal losses, Cetuximab and Panitumumab- renal wasting, Erlotinib, Trastuzumab
• Hyponatremia: Cisplatin- renal salt wasting, Bevacizumab, Volociximab-SIADH, Temsirolimus and everolimus- Aldosterone resistance, PD-1 Inhibitors- unknown mechanism, CTLA-4 inhibitors- hypophysitis, Methotrexate- SIADH, Trastuzumab
• Hypokalemia: Cisplatin- due to low Mg, Ifosfamide - Fanconi syndrome, Cetuximab- due to low Mg, BRAF inhibitors- fanconi, Methotrexate - ion channel dysfunction, Vandetanib
Dr. Kenar Jhaveri @kdjhaveri
#Electrolytes #Disorders #Cancer #agents #chemotherapy #diagnosis #differential