Severe Hyponatremia in Association with I131 Therapy in a Patient with Metastatic Thyroid Cancer
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概要
- 論文の詳細を見る
Hyponatremia is a common clinical problem that results from various causes. Hypothyroidism is known to be one of the causes of this disorder. We report a case of metastatic thyroid cancer presenting with severe hyponatremia in association with hypothyroidism induced by pretreatment of I131 therapy, such as a low-iodine diet and withdrawal of thyroid hormone. Serum arginine vasopressin (AVP) was elevated and urine osmolality was higher than that of serum. Saline infusion and thyroid hormone replacement normalized serum sodium and AVP. Inappropriate secretion of AVP in hypothyroid state was thought to be one of the causes of this hyponatremia.
著者
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Ohhira Masumi
Department Of General Medicine Asahikawa Medical College
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Okumura Toshikatsu
Department Of General Medicine Asahikawa Medical College
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Ohira Masumi
Department of General Medicine, Asahikawa Medical University, Japan
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野津 司
Department of Regional Medicine and Education, Asahikawa Medical University, Japan
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Yoshida Yuri
Department of General Medicine, Asahikawa Medical University, Japan
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Okumura Toshikatsu
Department of General Medicine, Asahikawa Medical University, Japan
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