PMID- 24635401 OWN - NLM STAT- MEDLINE DCOM- 20140424 LR - 20160307 IS - 1784-3286 (Print) IS - 1784-3286 (Linking) VI - 69 IP - 1 DP - 2014 Jan-Feb TI - Severe symptomatic hypomagnesaemia induced by the chronic use of proton pump inhibitors: a case report of a patient with Zollinger-Ellison syndrome. PG - 62-5 LID - 10.1179/0001551213Z.0000000008 [doi] AB - The association between proton pump inhibitor (PPI) therapy and hypomagnesaemia has been recognized since 2006. We report the case of a 51-year-old woman who developed severe symptomatic hypomagnesaemia after a long-term PPI therapy given for recurrent peptic ulcer disease. Hypomagnesaemia could only partially be resolved during substitution therapy, but was corrected after withdrawal of the PPI. Recurrence of hypomagnesaemia occurred after retreatment with PPIs, supporting the causal relationship. An underlying gastric acid hypersecretion (Zollinger-Ellison syndrome) was highly suspected and eventually controlled by a combination of a histamine 2-receptor antagonist and octreotide, without the need for further PPI therapy after 2 years of follow-up. FAU - Stroker, E AU - Stroker E FAU - Leone, L AU - Leone L FAU - Vandeput, Y AU - Vandeput Y FAU - Borbath, I AU - Borbath I FAU - Lefebvre, C AU - Lefebvre C LA - eng PT - Case Reports PT - Journal Article PL - England TA - Acta Clin Belg JT - Acta clinica Belgica JID - 0370306 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Blood Chemical Analysis MH - Female MH - Humans MH - Magnesium Deficiency/*chemically induced MH - Middle Aged MH - Proton Pump Inhibitors/*adverse effects MH - Zollinger-Ellison Syndrome/*drug therapy OTO - NOTNLM OT - Hypomagnesaemia, OT - Proton pump inhibitor, OT - Zollinger-Ellison syndrome EDAT- 2014/03/19 06:00 MHDA- 2014/04/25 06:00 CRDT- 2014/03/19 06:00 PHST- 2014/03/19 06:00 [entrez] PHST- 2014/03/19 06:00 [pubmed] PHST- 2014/04/25 06:00 [medline] AID - 10.1179/0001551213Z.0000000008 [doi] PST - ppublish SO - Acta Clin Belg. 2014 Jan-Feb;69(1):62-5. doi: 10.1179/0001551213Z.0000000008.