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Severe Hypernatremia Caused by Acute Exogenous Salt Intake Combined with Primary Hypothyroidism
Electrolytes & Blood Pressure ; : 27-30, 2016.
Artículo en Inglés | WPRIM | ID: wpr-154209
ABSTRACT
This report describes a case of severe hypernatremia with a serum sodium concentration of 188.1mmol/L caused by exogenous salt intake. A 26-year-old man diagnosed with Crohn's disease 5 years previously visited our clinic due to generalized edema and personality changes, with aggressive behavior. He had compulsively consumed salts, ingesting approximately 154 g of salt over the last 4 days. Despite careful fluid management that included not only hypotonic fluid therapy for 8 hours but also hypertonic saline administration, his serum sodium level decreased sharply at 40.6 mmol/L; however, it returned to normal within 72-hour of treatment without any neurological deficits. Primary hypothyroidism was also diagnosed. He was discharged after 9 days from admission, with a stable serum sodium level. We have described the possibility of successful treatment in a patient with hypernatremia caused by acute salt intoxication without sustained hypotonic fluid therapy.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Sales (Química) / Sodio / Enfermedad de Crohn / Edema / Fluidoterapia / Hipernatremia / Hipotiroidismo Límite: Adulto / Humanos Idioma: Inglés Revista: Electrolytes & Blood Pressure Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Sales (Química) / Sodio / Enfermedad de Crohn / Edema / Fluidoterapia / Hipernatremia / Hipotiroidismo Límite: Adulto / Humanos Idioma: Inglés Revista: Electrolytes & Blood Pressure Año: 2016 Tipo del documento: Artículo