Severe Hypernatremia Caused by Acute Exogenous Salt Intake Combined with Primary Hypothyroidism.
- Author:
Woo Jin JUNG
1
;
Su Min PARK
;
Jong Man PARK
;
Harin RHEE
;
Il Young KIM
;
Dong Won LEE
;
Soo Bong LEE
;
Eun Young SEONG
;
Ihm Soo KWAK
;
Sang Heon SONG
Author Information
- Publication Type:Case Report
- Keywords: Hypernatremia; Salt; Primary hypothyroidism; Crohn's disease
- MeSH: Adult; Crohn Disease; Edema; Fluid Therapy; Humans; Hypernatremia*; Hypothyroidism*; Salts; Sodium
- From:Electrolytes & Blood Pressure 2016;14(2):27-30
- CountryRepublic of Korea
- Language:English
- Abstract: This report describes a case of severe hypernatremia with a serum sodium concentration of 188.1mmol/L caused by exogenous salt intake. A 26-year-old man diagnosed with Crohn's disease 5 years previously visited our clinic due to generalized edema and personality changes, with aggressive behavior. He had compulsively consumed salts, ingesting approximately 154 g of salt over the last 4 days. Despite careful fluid management that included not only hypotonic fluid therapy for 8 hours but also hypertonic saline administration, his serum sodium level decreased sharply at 40.6 mmol/L; however, it returned to normal within 72-hour of treatment without any neurological deficits. Primary hypothyroidism was also diagnosed. He was discharged after 9 days from admission, with a stable serum sodium level. We have described the possibility of successful treatment in a patient with hypernatremia caused by acute salt intoxication without sustained hypotonic fluid therapy.
