Chronic hyponatremia in a patient with renal salt wasting and without cerebral disease: relationship between RSW, risk of fractures and cognitive impairment
Autor: | Antonino Tuttolomondo, Vittoriano Della Corte, Antonio Pinto, Rosaria Pecoraro |
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Přispěvatelé: | Della Corte V., Tuttolomondo A., Pecoraro R., Pinto A. |
Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Chronic hyponatremia Natriuresis 03 medical and health sciences 0302 clinical medicine Cognition Internal medicine Extracellular fluid Cerebral salt wasting syndrome Internal Medicine Medicine Humans Wasting Syndrome Renal Insufficiency Chronic Aged business.industry Renal salt wasting syndrome Sodium SIADH food and beverages nutritional and metabolic diseases Cerebral salt-wasting syndrome medicine.disease 030104 developmental biology Syndrome of inappropriate antidiuretic hormone secretion Emergency Medicine Cardiology Female Differential diagnosis business Hyponatremia 030217 neurology & neurosurgery Natriuretic peptide Human |
Popis: | Renal salt wasting syndrome (RSW) is defined as a renal loss of sodium leading to hyponatremia and a decrease in extracellular fluid volume (ECV). Differentiation of this disorder from the syndrome of inappropriate antidiuretic hormone secretion (SIADH), a common cause of hyponatremia, can be difficult because both can present with hyponatremia and concentrated urine with natriuresis. Our clinical case about a 78-year-old woman with a recent fracture of the right femur not only confirms that this syndrome can occur in patients without intracranial pathologies (CT documented), but depicts how the hyponatremia caused by RSW can show a chronic, oscillating course. This is an interesting point of view because it suggests to us to consider RSW in the differential diagnosis of patients with chronic hyponatremia. |
Databáze: | OpenAIRE |
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