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Mental disorder induced transient SIADH:a case report
Author(s): Peng Hangya, Wang Manman, Huang Yanlu, Zeng Longyi, Mu Panwei
Pages: 571-
573
Year: 2016
Issue:
8
Journal: New Chinese Medicine
Keyword: Mental disorder; Transient; Hyponatremia; Syndrome of inappropriate antidiuretic hormone secretion;
Abstract: Syndrome of inappropriate antidiuretic hormone secretion (SIADH)is characterized by hy-po-osmolar hyponatremia and impaired urine dilution capacity.The etiology of SIADH is complicated.Water restriction is the main therapy.Here we reported a 65-year female patient suffered from transient SIADH.She was admitted due to mental tension for over 10 years,bilateral lower limb fatigue for 6 months,vomiting for 3 days and anxiety symptoms.The examination findings revealed hypo-osmolar hyponatremia,which was consist-ent with the diagnostic criterion of SIADH.After anti-anxiety therapy and physiological saline supplement,the level of serum sodium gradually returned to normal range.During the advanced stage,she could maintain elec-trolyte balance by normal diet.After 17 d-hospitalization,she was discharged with no recurrent symptoms. Therefore,the possibility of transient SIADH should be considered for the elderly patients with anxiety symp-toms,especially those complicated with gastrointestinal disorders.
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