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Hi Sutirtha, Check for paraproteinaemia as abnormal immunoglobulins can bind phosphate and/or interfer with the colorimetric phosphate assay giving such rediculously high results. Regards Mohammad Dr. M A Al-Jubouri, MB ChB, MSc, FRCP Edin, FRCPath Consultant Chemical Pathologist From: sutirtha chakraborty <[log in to unmask]> To: [log in to unmask] Sent: Wednesday, September 19, 2012 7:15 AM Subject: Is such extreme hyperphosphatemia possible clinically? Dear Colleagues, Please follow the link below. http://www.aacc.org/members/nacb/NACBBlog/Lists/Posts/Post.aspx?ID=100# http://www.aacc.org/resourcecenters/AACCBlogs/bios/Pages/WinterChakraborty.aspx# Please comment on the post and recommend it if you think it is informative -- Thanks and Regards, Dr Sutirtha Chakraborty, MD Consultant,Dept of Biochemistry Peerless Hospital&B.K Roy Research Center Kolkata 700094,India Mobile: +91 9874787638 ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk/ Green Laboratories Work http://www.laboratorymedicine.nhs.uk/ List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/