Inappropriate Secretion of Antidiuretic Hormone in a Patient with Squamous Cell Carcinoma of the Lung mimicking Pulmonary Tuberculosis
Journal of the Korean Geriatrics Society
;
: 50-55, 1999.
Article
in Korean
| WPRIM
| ID: wpr-78937
ABSTRACT
A 71-year-old man with squamous cell carcinoma of lung mimicking pulmonary tuberculosis associated with the syndrome of inappropriate secretion of ADH(SIADH). Laboratory examination showed serum sodium concentration of 108 mEq/l. serum osmolality 247 mEg/l urine sodium concentration of 141 mEq/l urine osmolality 547 mEq/l. normal levels (<0.56 pg/ml) of serum antidiuretic hormone (ADH). ADH release was regulated normally with changes in serum osmolality. SIADH was diagnosed on the basis of hyponatremia with corresponding serum hypoosmolality and a high urine osmolality due to continuous sodium excretion. In this case, SIADH was probably induced by increased renal sensitivity to ADH and suspected high serum ANP level of unknown origin.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osmolar Concentration
/
Sodium
/
Tuberculosis, Pulmonary
/
Carcinoma, Squamous Cell
/
Atrial Natriuretic Factor
/
Hyponatremia
/
Inappropriate ADH Syndrome
/
Lung
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
1999
Type:
Article
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