Severe Hypophosphatemia in Adolescent Cannabis User

Cannabinoid hyperemesis syndrome (CHS) involves cyclical nausea, vomiting, and abdominal pain linked to use of cannabis with resolution symptoms upon cessation cannabinoids. Although electrolyte disturbances, fluid imbalances, nutritional deficiencies are known complications CHS in the setting intractable severe hypophosphatemia is a rare clinical phenomenon cited primarily adult literature. Pediatric cases scarcer, thus magnitude associated our patient case describes an adolescent diagnosed complicated by recurrent hypophosphatemia. As accessibility potential for abuse increase wave legalization seen at state level, clinician awareness needed such adverse entities related cannabinoid toxicity.