A case in which water intoxication due to excessive water ingestion did not inhibit the secretion of arginine vasopressin
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概要
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We experienced a case of water intoxication due to excessive water ingestion that was complicated bythe syndrome of inappropriate secretion of antidiuretic hormone (SIADH). A 60-year-old Japanese womanwith nervous depression drank too much lemon tea within several hours, vomited ten times, and developeddisturbed consciousness and dysarthria. Her plasma arginine vasopressin (AVP) concentration was not inhibited,although her plasma osmolality was low. Nausea and/or stress may stimulate AVP secretion regardlessof the hypo-osmolality. We believe that dilatation of her stomach due to excessive liquid ingestion andcerebral edema due to hypo-osmolality brought on her nausea. Stress induced by a psychiatric problemand/or admission to a hospital may also stimulate AVP secretion by the central nervous system. Treatingnausea and stress may help reduce AVP secretion and resolve hyponatremia.
- 2012-03-25
著者
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Aso Yoshimasa
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital
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Ikegami Keiichi
Trauma And Critical Care Center Koshigaya Hospital Dokkyo University School Of Medicine
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Shota Ishibashi1
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital1
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Toshihiko Inukai1
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital1
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Kohzo Takebayashi1
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital1
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Toshiro Kamisasanuki2
Trauma and Critical Care Center, Dokkyo Medical University Koshigaya Hospital2
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Kimio Morita1
Department of Internal Medicine, Dokkyo Medical University Koshigaya Hospital1
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Yoshimasa Aso1
Department of Internal Medicine, Dokkyo Medical University Koshigaya Hospital1
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Keiichi Ikegami2
Trauma and Critical Care Center, Dokkyo Medical University Koshigaya Hospital2
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Yoshimasa Aso1
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital1
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Keiichi Ikegami2
Trauma And Critical Care Center Dokkyo Medical University Koshigaya Hospital2
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Toshiro Kamisasanuki2
Trauma And Critical Care Center Dokkyo Medical University Koshigaya Hospital2
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Takebayashi Kohzo
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital
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Morita Kimio
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital
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Kimio Morita1
Department Of Internal Medicine Dokkyo Medical University Koshigaya Hospital1
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Inukai Toshihiko
Trauma and Critical Care Center, Dokkyo Medical University Koshigaya Hospital
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Ishibashi Shota
Department of Internal Medicine, Dokkyo Medical University Koshigaya Hospital
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Kamisasanuki Toshiro
Trauma and Critical Care Center, Dokkyo Medical University Koshigaya Hospital
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Ikegami Keiichi
Trauma and Critical Care Center, Dokkyo Medical University Koshigaya Hospital
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ASO Yoshimasa
Department of Endocrinology and Metabolism, Dokkyo Medical University
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