| Literature DB >> 20111051 |
Stefan Reuter1, Niklas Scholten, Hermann Pavenstädt, Uta Hillebrand, Eckhart Büssemaker.
Abstract
BACKGROUND: A 49-year-old woman presented to hospital with an 18-month history of hyponatremic episodes, nausea, vomiting, anorexia and fatigue. INVESTIGATIONS: Physical examination, laboratory tests including full blood count, measurement of electrolytes, hormones, autoantibodies, thyroid and renal function, corticotropin-releasing-hormone stimulation test, 24 h urinalysis and abdominal ultrasonography. DIAGNOSIS: Severe symptomatic hyponatremia in a patient with secondary adrenal insufficiency caused by treatment of lumbago with triamcinolone injections. MANAGEMENT: Hydrocortisone replacement therapy (15 mg daily) for 3 months, followed by a tapering schedule over 12-24 months.Entities:
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Year: 2010 PMID： 20111051 DOI： 10.1038/nrneph.2009.215
Source DB: PubMed Journal: Nat Rev Nephrol ISSN： 1759-5061 Impact factor: 28.314