PMID- 8264519 OWN - NLM STAT- MEDLINE DCOM- 19940124 LR - 20131121 IS - 0378-0392 (Print) IS - 0378-0392 (Linking) VI - 19 IP - 4-5 DP - 1993 TI - Clinical manifestations of magnesium deficiency. PG - 314-22 AB - Magnesium (Mg) is critical for the function of numerous enzyme systems. Mg deficiency thereby may result in many and varied clinical manifestations. Mg deficiency is common as approximately 10% of patients admitted to city hospitals are hypomagnesemic. Mg deficiency is usually due to losses from the gastrointestinal tract or from the kidney. A serum Mg concentration of < 1.5 mEq/l usually indicates Mg deficiency, however, intracellular Mg deletion may be present despite a normal serum Mg concentration. Acute clinical manifestations of Mg deficiency include neuromuscular hyperexcitability, cardiac arrhythmias, and biochemical abnormalities of hypokalemia and hypocalcemia. Chronic Mg depletion may contribute to hypertension, atherosclerotic vascular disease, altered glucose homeostasis, and metabolic bone disease. Therapy of the acute manifestations usually requires parenteral Mg administration of 24-48 mEq Mg/day for 3-5 days. Long-term Mg repletion may be accomplished by the administration of 300-600 mg of Mg orally/day. FAU - Abbott, L G AU - Abbott LG AD - Department of Endocrinology, LAC+USC Medical Center, Los Angeles 90033. FAU - Rude, R K AU - Rude RK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Switzerland TA - Miner Electrolyte Metab JT - Mineral and electrolyte metabolism JID - 7802196 RN - I38ZP9992A (Magnesium) SB - IM MH - Humans MH - Magnesium/administration & dosage/physiology/therapeutic use MH - Magnesium Deficiency/*diagnosis/drug therapy/etiology/metabolism/physiopathology RF - 67 EDAT- 1993/01/01 00:00 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PHST- 1993/01/01 00:00 [pubmed] PHST- 1993/01/01 00:01 [medline] PHST- 1993/01/01 00:00 [entrez] PST - ppublish SO - Miner Electrolyte Metab. 1993;19(4-5):314-22.