Hyponatremia with Increased Plasma Antidiuretic Hormone in a Case of Hypothyroidism

概要

論文の詳細を見る
We report a 70-year-old woman with hypothyroidism and severe hyponatremia. Her plasma antidiuretic hormone (ADH) level was inappropriately high for her low plasma osmolality. Her low serum sodium level was gradually corrected by water restriction and sodium supplementation prior to the initiation of thyroid hormone replacement. After a diagnosis of Hashimotos thyroiditis had been made, the patient was treated with levothyroxine. Following this treatment, the patients serum sodium level increased drastically. It is suggested that the elevated plasma ADH level played an important role in the development of hyponatremia in this case.(Internal Medicine 39: 1075-1078, 2000)
社団法人日本内科学会の論文
2000-12-01