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A patient with hypomagnesemia caused by chronic alcoholism presented with tetany, hypocalcemia, and hyperphosphatemia. The biochemical abnormality was associated with refractory hypokalemia and was readily corrected by oral administration of magnesium hydroxide (milk of magnesia). It is suggested that magnesium deficiency be considered in patients with hypocalcemia and hyperphosphatemia, in addition to the classic differential diagnosis of hypoparathyroidism, pseudohypoparathyroidism and renal failure.
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Medalle et al. (1973) studied this question.
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