Development of osteomalacia in a post-liver transplant patient receiving adefovir dipivoxil

Table 1 Laboratory data on admission

Blood chemistry		Arterial blood gas		Urinary chemistry
Total protein	6.3 g/dL	pH	7.375	Urinary Na	0.78 g/d
Albumin	3.9 g/dL	PaO2	86.8 mmHg	Urinary K	0.20 g/d
AST	39 IU/L	PaCO2	37.1 mmHg	Urinary Cl	0.67 g/d
ALT	22 IU/L	HCO3-	21.2 mmol/L	Urinary Ca	0.14 g/d
ALP	3410 IU/L	Anion gap	11.3 mmol/L	Uurinary phosphate	0.43 g/d
γ-GTP	116 IU/L	Base excess	- 3.0 mmol/L	% TRP	53.7 %
Total bilirubin	0.6 mg/dL			Urinary creatinine	0.45 g/d
Direct bilirubin	0.2 mg/dL			Ccreatinine clearance	37.9 mL/min
Urea nitrogen	36 mg/dL			Uurinary glucose	2.57 g/d
Creatinine	1.1 mg/dL			Urinary protein	1.44 g/d
Uric acid	1.7 mg/dL			Urinary NAG	49.0 U/L
Plasma glucose	90 mg/dL			Urinary BMG	129, 220 μg/L
Na	142 mEq/L			Generalized aminoaciduria	(+)
K	3.5 mEq/L
Cl	113 mEq/L
Ca	8.0 mg/dL
P	1.4 mg/dL
Mg	2.1 mg/dL
Prothrombin time (INR)	0.96
Serum BMG	3.5 mg/L
Bone-type ALP	551 μg/L
Intact-PTH	85 pg/mL
1, 25-dihydroxy vitamin D3	21.3 pg/mL

AST: aspartate aminotransferase; ALT: alanine aminotransferase; ALP: alkaline phosphatase; γ-GTP: γ-glutamyl transferase; P: phosphate; BMG: β2-microglobulin; %TRP: % tublar reabsorption of phosphate; NAG: N-acetyl-β-D-glucosaminidase; Intact-PTH: intact parathyroid hormone.