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Table 88.2

Causes of Hypomagnesaemia

Poor intake of magnesium
  • Alcoholism
  • Malnutrition

Gastrointestinal loss of magnesium

Renal loss of magnesium

  • Drugs;
    • Diuretics (loop and thiazide)
    • Antibiotics (aminoglycoside, amphotericin, pentamidine)
    • Calcineurin inhibitors
    • Cisplatin
    • Antibodies targeting epidermal growth factor (EGF) receptor (cetuximab, panitumumab, matuzumab)
  • Volume expansion
  • Uncontrolled diabetes mellitus
  • Hypercalcaemia
  • Acquired tubular dysfunction:
    • Recovery from acute tubular necrosis
    • Post-obstructive diuresis
    • Post-renal transplantation
  • Genetic disorders:
    • Bartter and Gitelman syndromes
    • Familial hypomagnesaemia with hypercalciuria and nephrocalcinosis
    • Autosomal dominant isolated hypomagnesaemia (Na-K-ATPase gamma subunit, Kv1.1 and cyclin M2 mutations)
    • Autosomal recessive isolated hypomagnesaemia (EGF mutation)
    • Renal malformations and early-onset diabetes mellitus (HNF1-beta mutation