A Case of Syndrome of Inappropriate Secretion of Antidiuretic Hormone(SIADH) with Low Plasma Concentrations of Antidiuretic Hormone.
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概要
- 論文の詳細を見る
A 66-year-old Japanese man presented with persistent hyponatremia without polydipsia and polyuria. Laboratory examination showed serum sodium of 117mEq/l, plasma osmolality 239mosm/kg, urine sodium 108mEq/l, urine osmolality 577mosm/kg, and normal levels (<2.0 pg/ml) of serum antidiuretic hormone (ADH). ADH release was regulated normally with changes in plasma osmolality. No obvious cause for the syndrome of inappropriate secretion of ADH (SIADH) could be detected. However, 20 months later, the patient had bouts of hematuria and was found to have cancer of the urinary bladder. Increased renal sensitivity to ADH was suspected as the underlying mechanism of SIADH.(Internal Medicine 31 : 246-250, 1992)
- 社団法人 日本内科学会の論文
著者
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Takishita Shuichi
The Third Department Of Internal Medicine University Of The Ryukyus
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FUKIYAMA Koshiro
The Third Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
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SUGAMA Takako
The Third Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
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ISEKI Kunitoshi
The Third Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
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SESOKO Shogo
The Third Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
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KAWAZOE Nobuyuki
The Third Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
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TAKISHITA Shuichi
The Third Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus
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