1.A case of syndrome of inappropriate secretion of antidiuretic hormone associated with paroxetine.
Hyo Jun AHN ; Hyung Wook KIM ; Young Soo KIM ; Young Ok KIM ; Sun Ae YOON ; Jae Ki CHOI
Korean Journal of Medicine 2010;79(6):710-713
Paroxetine is a well-known selective serotonin reuptake inhibitor, and has been reported to be advantageous for chronic pain control. Paroxetine is increasingly used for various types of chronic pain because of its safety; however, hyponatremia, or syndrome of inappropriate secretion of antidiuretic hormone (SIADH) associated with paroxetine, has been reported. This complication is relatively rare, but some patients have presented with severe neurological symptoms. Here, we report the first case of SIADH associated with paroxetine in Korea.
Chronic Pain
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Humans
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Hyponatremia
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Inappropriate ADH Syndrome
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Korea
;
Paroxetine
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Serotonin
2.Clinical Characteristics of Brucellosis Complicated by Syndrome of Inappropriate Secretion of Antidiuresis.
Xing Yu ZHAO ; Juan Hui ZHU ; Li An TONG ; Peng XIA ; Jie Lin WANG
Acta Academiae Medicinae Sinicae 2019;41(6):787-792
To summarize and analyze the causes of hyponatremia in patients with brucellosis and explore the clinical manifestations of syndrome of inappropriate antidiuresis(SIAD)in patients with brucellosis. The clinical data of 111 patients with acute brucellosis who were treated in Peking Union Medical College Hospital from September 2011 to December 2017 were retrospectively reviewed.Hyponatremia was defined by serum sodium level lower than 135 mmol/L.Clinical characteristics including medical histories,vital signs,and laboratory test findings were collected and analyzed. Hyponatremia was found in 14(12.6%)of 111 patients with brucellosis,among whom 3 patients were confirmed to be with SIAD,10 were suspected as SIAD,and 1 was diagnosis as hypopituitarism.Hypoalbuminemia,elevation of erythrocyte sedimentation rate,and high sensitivity C reactive protein were found in brucellosis patients with SIAD,along with severe complications such as infective endocarditis,septic shock,and anemia. Hyponatremia is not a rare condition in brucellosis patients and may be caused by SIAD.
Brucellosis
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Humans
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Hyponatremia
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Inappropriate ADH Syndrome
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Retrospective Studies
3.A Case of Cerebral Salt Wasting Syndrome in Neuromyelitis Optica Spectrum Disorder.
Young Min PAEK ; Jae Jung LEE ; Pamela SONG ; Hee Kyung PARK ; Joong Yang CHO
Soonchunhyang Medical Science 2017;23(2):115-117
Neuromyelitis optica spectrum disorder (NMOSD) may present with area postrema syndrome, which is characterized by intractable vomiting and hiccups. Hyponatremia is common in NMOSD and is mostly associated with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). In contrast to SIADH, cerebral salt wasting syndrome (CSWS) causes hyponatremia, which is associated with severe natriuresis and extracellular volume depletion in patients with cerebral disease. To our knowledge, hyponatremia associated with CSWS has not been reported in a patient with NMOSD. Here, we describe a NMOSD presenting with hyponatremia, which may be caused by CSWS following area postrema syndrome.
Area Postrema
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Hiccup
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Humans
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Hyponatremia
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Inappropriate ADH Syndrome
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Natriuresis
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Neuromyelitis Optica*
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Vomiting
;
Wasting Syndrome*
4.SIADH Associated with Guillain-Barre Syndrome.
Youn Kyoung LEE ; Seong Kwon MA ; Sang Hun KIM ; Yoon Chul LEE ; Min Seok CHO ; Soo Wan KIM ; Nam Ho KIM ; Ki Chul CHOI
Korean Journal of Nephrology 2004;23(4):630-632
The most common cause of hyponatremia in hospitalized patients is syndrome of inappropriate antidiuretic hormone secretion (SIADH) characterized by water retention leading to decreased serum sodium concentration and osmolality. Since the report of Schwartz and his co-workers1), this syndrome has been described in various clinical settings. There are some reports on SIADH associated with Guillain-Barre syndrome in the literature2-6). However, to our knowledge, there was only one reported case of SIADH associated with Guillain-Barre syndrome in Korea
Guillain-Barre Syndrome*
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Humans
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Hyponatremia
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Inappropriate ADH Syndrome*
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Korea
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Osmolar Concentration
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Sodium
;
Water
5.Cerebral Salt Wasting Syndrome Associated with Pseudomonas Meningitis ccurred after Removal of Pituitary Adenoma: A Case Report.
Kwang Gik KO ; Jong Pil EUN ; Yong Seog KIM ; Soong Hee LEE ; Dong Gyu SHIN ; Chang Young KWON
Journal of Korean Neurosurgical Society 1999;28(5):726-
The authors report a case of cerebral salt wasting(CSW) syndrome followed by diabetes insipidus and meningitis after transsphenoidal approach for pituitary adenoma. Fluid and electrolyte imbalance occurs occasionally in neurosurgical patients due to DI or SIADH, however, CSW is different disease entity and the methods of treatment are different from those of DI or SIADH. A number of studies in recent years have shown that hyponatremia in many patients with intracranial disease might actually be caused by CSW in which a renal loss of sodium leads to hyponatremia and massive urinary water loss. CSW of this patient was resolved by fluid and salt replacement after 6 months.
Diabetes Insipidus
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Humans
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Hyponatremia
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Inappropriate ADH Syndrome
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Meningitis*
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Meningitis, Bacterial
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Pituitary Neoplasms*
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Pseudomonas*
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Sodium
;
Wasting Syndrome*
6.Evaluating and Managing Hyponatremia.
Minwook YOO ; Ozan AKCA ; Evelyn BEDIAKO
The Korean Journal of Critical Care Medicine 2008;23(2):67-74
Although hyponatremia is a common electrolyte disorder, its evaluation and management are not well defined. When diagnosed, hyponatremia should be categorized based on four criteria: volume status, urinary Na+, serum K+, and acid-base balance. This approach helps to determine what the cause of hyponatremia is and how it should be treated. Initially, hypovolemic hyponatremia, including cerebral salt wasting syndrome (CSWS), is treated by volume resuscitation and salt supplementation. Euvolemic hyponatremia, including the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), is treated by fluid restriction and salt supplementation, and hypervolemic hyponatremia is treated by fluid restriction and salt restriction. Hyponatremia can be managed well using these primary treatments and medications.
Acid-Base Equilibrium
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Hyponatremia
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Hypovolemia
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Inappropriate ADH Syndrome
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Resuscitation
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Wasting Syndrome
7.A Case of Syndrome of Inappropriate Antidiuretic Hormone Secretion and Pneumomediastinum Complicated by Bougienation in Malignant Esophageal Stricture.
Do Youn KANG ; Kyoung Ah JUNG ; Hong Jun KIM ; Hyung Joon KIM ; Ji Hun LEE ; Hyun Jin KIM ; Tae Hyo KIM ; Ok Jae LEE ; Joong Hyun CHO ; Woon Tae JUNG
Korean Journal of Gastrointestinal Endoscopy 2005;30(5):262-266
Bougienation is generally an effective method providing temporary relief of obstruction to facilitate stent insertion in patients with malignant esophageal stricture. The complicated by after bougienation such as esophageal perforation, mediastinitis, bronchoesophageal fistula, pneumomediastinum, pneumothorax were reported. However, syndrome of inappropriate antidiuretic hormone secretion (SIADH) complicated by bougienation has rarely been reported. Thus, we report a case of SIADH and pneumomediastinum complicated by bougienation in a patient with malignant esophageal stricture.
Esophageal Perforation
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Esophageal Stenosis*
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Fistula
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Humans
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Inappropriate ADH Syndrome
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Mediastinal Emphysema*
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Mediastinitis
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Pneumothorax
;
Stents
8.The Effectiveness of Sequential Intravenous Saline and Oral Water Loading Tests and Barsoum-Levine Formula for Managing Hyponatremic Patients: 2 Case Reports.
Joo Hark YI ; Won Jun KIM ; U Seok NOH ; Yeon Jae KIM ; Young Sun KO ; Sang Woong HAN ; Ho Jung KIM
Korean Journal of Nephrology 2008;27(6):726-732
In hyponatremic patients, the assessment of extracellular fluid volume plays an essential step in diagnosing the etiology of hyponatremia and deciding how to manage it. Although various laboratory tests and diagnostic procedures have been developed for differential diagnosis of hyponatremia, there still are limits to the evaluation of the status of extracellular fluid volume due to the data that overlaps each other, leading to the difficulty in diagnosing between euvolemia and hypovolemia. Also, there is no consensus about how to guide the type and amount of fluid therapy despite many formulas including Adrogue-Madias and Barsoum-Levine formulas have been suggested. Hereby, we are reporting two hyponatremic patients (102 and 105 mEq/L) admitted simultaneously with indistinct volume status on initial clinical and laboratory examinations, but were clarified as euvolemic hyponatremia (syndrome of inappropriate antidiuretic hormone secretion) in one and hypovolemic hyponatremia in the other case after sequential intravenous saline (2 L over 24 hrs) and oral water (20 mL/kg) loading tests. When serum sodium values calculated by the above-mentioned two formulas were compared with actually measured ones during saline loading test in these cases, the Barsoum-Levine formula revealed almost no discrepancy between both the values while the Adrogue-Madias formula underestimated the measured value.
Consensus
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Diagnosis, Differential
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Extracellular Fluid
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Fluid Therapy
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Humans
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Hyponatremia
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Hypovolemia
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Inappropriate ADH Syndrome
;
Sodium
;
Water
9.A Case Report of Syndrome of Inappropriate Antidiuretic Hormone Induced by Pregabalin.
Youn Joo JUNG ; Dong Young LEE ; Hae Won KIM ; Hyun Sun PARK ; Beom KIM
Electrolytes & Blood Pressure 2016;14(2):31-34
The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is the most common cause of euvolemic hyponatremia, and many medications have been associated with SIADH. Pregabalin is a drug used for the treatment of neuropathic pain, though common adverse effects include central nervous system disturbance, peripheral edema, and weight gain. However, hyponatremia caused by pregabalin has been rarely reported. Here we report a patient with pregabalin-induced hyponatremia who met the criteria for SIADH; after discontinuation of the drug, his condition rapidly improved. This case can help clinicians diagnose and treat new-onset hyponatremia in patients who recently initiated pregabalin therapy.
Central Nervous System
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Edema
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Humans
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Hyponatremia
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Inappropriate ADH Syndrome
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Neuralgia
;
Pregabalin*
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Weight Gain
10.Inappropriate Secretion of Antidiuretic Hormone in a Patient with Systemic Lupus Erythematosus.
Ju Ock NA ; Bin YOO ; Young OK JUNG ; Seong Ho KIM ; You Sook CHO ; Mi Kyoung LIM ; Chan KIM ; Soo Gyl PARK ; Hee Bom MOON
Korean Journal of Medicine 1998;55(5):977-981
The syndrome of inappropriate secretion of antidiuretic hormone (SIADH) has been reported in a great variety of diseases and disorders of central nervous system (CNS). However, there has been only 7 cases of SLE reports in association with SIADH and correlation of SIADH and SLE has not been clearly demonstrated. Previous cases showed improvement of SIADH as lupus activity resolved during treatment. We report a case of SLE in association with SIADH which showed improvement during treatment with prednisolone and cyclophosphamide.
Central Nervous System
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Cyclophosphamide
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Humans
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Inappropriate ADH Syndrome
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Lupus Erythematosus, Systemic*
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Prednisolone