Table 3.
Etiology, treatment, and outcome of adult-onset hypophosphatemic osteomalacia
|
Etiology
|
Onset to diagnosis (mo)
|
ADV dose (mg/d)
|
ADV duration (yr)
|
Medication change
|
Time to symptom improvement (mo)
|
Time to normalization of phosphate (mo)
|
1 | Tumor-induced osteomalacia | 25 | N/A | N/A | N/A | 7 d | 2 d |
2 | ADV-induced nephropathy | 25 | 10 | 6 | Keep ADV | 3 | Never |
3 | ADV-induced nephropathy | 24 | 10 | 11 | Change to ETV | 0.5 | 3.5 |
4 | ADV-induced nephropathy | 6 | 10 | 10 | Discontinuation of ADV | 3 | 3 |
5 | ADV-induced nephropathy | 9 | Unknown | 11 | Change to ETV | 2 | 8 |
6 | Light-chain nephropathy due to multiple myeloma | 14 | N/A | N/A | N/A | 1 | Never |
7 | ADV-induced nephropathy | 27 | 10 | 4 | Change to ETV | 2 | 9 |
8 | ADV-induced nephropathy | 61 | 10 | 7 | Change to TAF | 1 | 1 |
N/A: Not applicable; ADV: Adefovir; ETV: Entecavir; TAF: Tenofovir alafenamide fumarate.