three patients , in whom tumour overkill by cytotoxic treatment , including high dose methotrexate with folinic acid rescue , resulted in the 'phosphate shower syndrome ' ( hyper-uricaemia , hyperkalaemia and hyperphosphataemia with hypocalcaemia and tetany , with metabolic acidosis and acute renal impairment ) are described .
C0020598
hypocalcaemia
C0039621
tetany