Novel Use of Tolvaptan in a Pediatric Patient With Congestive Heart Failure Due to Duchenne Muscular Dystrophy and Congenital Adrenal Hyperplasia
| Autor: | Brady S. Moffett, William J. Dreyer, Jack F. Price, Antonio G. Cabrera, Sarah Sami, Melissa Karlsten, Susan W. Denfield, Aamir Jeewa |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Duchenne muscular dystrophy Tolvaptan nutritional and metabolic diseases Case Reports medicine.disease Pediatric patient Endocrinology Heart failure Internal medicine Pediatrics Perinatology and Child Health medicine Cardiology Pharmacology (medical) Medical history Congenital adrenal hyperplasia Hyponatremia business medicine.drug Vasopressin receptor |
| Popis: | Successful management of hyponatremia in heart failure patients requires a multifaceted approach in order to preserve end-organ function. We describe the novel use of a selective vasopressin receptor antagonist, tolvaptan, for management of hyponatremia in a 17-year-old Caucasian male with severe Duchenne muscular dystrophy, congestive heart failure (CHF), and congenital adrenal hyperplasia. The medical history was significant for recurrent admissions for hyponatremia secondary to adrenal crises, which was also exacerbated by his CHF. After initiation of tolvaptan and its extended administration, he had no further hyponatremia-related admissions and no adverse reactions. The complexity of this combination of conditions is presented, and the efficacy of the drug and the rationale behind the treatment approach is discussed. |
| Databáze: | OpenAIRE |
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