Incremental Increases in Glucocorticoid Doses May Reduce the Risk of Osmotic Demyelination Syndrome in a Patient with Hyponatremia due to Central Adrenal Insufficiency
スポンサーリンク
概要
- 論文の詳細を見る
A 50-year-old man was admitted to our hospital because of general malaise. Laboratory tests revealed severe hyponatremia (104 mEq/L), which was attributed to central adrenal insufficiency. To treat presumed central diabetes insipidus (CDI), we administered a small dose of hydrocortisone and gradually increased it to maintenance doses to prevent osmotic demyelination syndrome (ODS). Serum sodium levels did not increase more than 10 mEq/L/day and ODS did not occur. Thereafter, the patient was proven to have CDI. Incremental increases in glucocorticoid dose may reduce the risk of ODS for patients with hyponatremia due to central adrenal insufficiency, especially that complicated by CDI.
著者
-
Yamagami Keiko
Department Of Endocrinology And Metabolism Osaka City General Hospital
-
Yoshioka Katsunobu
Department Of Endocrinology And Metabolism Osaka City General Hospital
-
Yamaguchi Seiko
Department Of Bacteriology Osaka City University Medical School
-
Adachi Kenji
Department Of Agricultural Chemistry Yamagata University:(present Office)central Laboratory Rengo Co
-
Fujimoto Shunsuke
Department Of Biochemistry Osaka City University Medical School
-
Minami Mieko
Department Of Internal Medicine Osaka City Sumiyoshi Hospital
-
Fujimoto Shunsuke
Department of Gastroenterology, Osaka City Sumiyoshi Hospital, Japan
-
Minami Mieko
Department of Internal Medicine, Osaka City Sumiyoshi Hospital, Japan
関連論文
- Granulocyte Colony-Stimulating Factor Has No Adverse Effects on Atherosclerotic Lesions in High Cholesterol-Fed Miniature Swine(Pathology)
- Evidence for Abundant Presence of Chymase-Positive Mast Cells in the Kidneys of Patients with Immunoglobulin A Nephropathy : Effect of Combination Therapy with Prednisolone and Angiotensin II Receptor Blocker Valsartan
- Nephrogenic diabetes insipidus due to hydronephrosis in a patient with a solitary kidney
- Transient Central Diabetes Insipidus in Pregnancy with a Peculiar Change in Signal Intensity on T1-Weighted : Magnetic Resonance Images
- Treatment of Lymphocytic Hypophysitis by High-Dose Methylprednisolone Pulse Therapy
- An Insulinoma for which Secretin Test and Selective Arterial Calcium Injection Test were Useful
- Complete Adrenocorticotropin Deficiency after Radiation Therapy for Brain Tumor with a Normal Growth Hormone Reserve
- Creatinine Clearance as a Substitute for the Glomerular Filtration Rate in the Assessment of Glomerular Hemodynamics
- Peliosis Hepatis Associated with Idiopathic Restrictive Cardiomyopathy
- A Case of IgG4-Related Multifocal Fibrosclerosis Complicated by Central Diabetes Insipidus
- A Case of Hypopituitarism due to Inflammatory Myofibroblastic Tumor of the Sella Turnica
- Tubulointerstitial nephritis and uveitis (TINU) syndrome caused by the Chinese herb "Goreisan"
- Reversible posterior leukoencephalopathy syndrome : a possible manifestation of Wegener's granulomatosis-mediated endothelial injury
- A case of Wegener's granulomatosis associated with progressive dysphagia owing to esophageal involvement
- Blunted Response of the Renin-Angiotensin System and Nitric Oxide Synthesis Related to Sodium Sensitivity in Immunoglobulin A Nephropathy
- Effects of Benidipine on Glomerular Hemodynamics and Proteinuria in Patients with Nondiabetic Nephropathy
- Stimulation of Phagocytosis and Phagosome-Lysosome Fusion by Glycosphingolipids from Sphingomonas paucimobilis
- Development of various arrhythmias and conduction disturbances following corticosteroid therapy for systemic lupus erythematosus with antiphospholipid syndrome
- Primary biliary cirrhosis complicated by severe hypoxemia
- Lamivudine therapy for hepatitis B virus reactivation in a patient receiving intra-arterial chemotherapy for advanced hepatocellular carcinoma
- Identification of genes differentially expressed by putrescine in HepG2 hepatoblastoma cells
- Aortic Aneurysm with Severe Aortic Regurgitation in a Patient with Systemic Lupus Erythematosus
- Multifocal Fibrosclerosis Combined with Idiopathic Retro-peritoneal and Pericardial Fibrosis
- Subcutaneous Panniculitislike Tcell Lymphoma: Successful Initial Treatment with Prednisolone and Cyclosporin A
- Transient Central Diabetes Insipidus in Pregnancy with a Peculiar Change in Signal Intensity on T1-Weighted : Magnetic Resonance Images
- Treatment of Lymphocytic Hypophysitis by High-Dose Methylprednisolone Pulse Therapy
- PHOSPHODIESTERASE INHIBITORS: THEIR COMPARATIVE EFFECTIVENESS IN VITRO IN VARIOUS ORGANS
- Purification and Properties of Laccase Excreted by Pycnoporus coccineus(Biological Chemistry)
- Cloning of the hamster androgen receptor gene
- Bisoxazoline and Bioxazoline Chiral Ligands Bearing 4-Diphenylmethyl Shielding Substituents. Diels : Alder Reaction of Cyclopentadiene with 3-Acryloyl-2-oxazolidinone Catalyzed by the Aqua Nickel(II) Complex
- Effects of immunosuppressive peptidyl-prolyl cis-trans isomerase (PPIase) inhibitors, cyclosporin A, FK506, ascomycin and rapamycin, on hair growth initiation in mouse : immunosuppression is not required for new hair growth
- An Insulinoma for which Secretin Test and Selective Arterial Calcium Injection Test were Useful
- Onset of adult-onset Still's disease following influenza vaccination
- Endovascular Repair of Sealed Rupture of a Thoracic Inflammatory Aneurysm that Developed after Corticosteroid Therapy
- Incremental Increases in Glucocorticoid Doses May Reduce the Risk of Osmotic Demyelination Syndrome in a Patient with Hyponatremia due to Central Adrenal Insufficiency
- Granulomatous Mastitis Complicated by Arthralgia and Erythema Nodosum Successfully Treated with Prednisolone and Methotrexate
- Churg-Strauss Syndrome Concomitant with Chronic Symmetrical Dacryoadenitis Suggesting Mikulicz's Disease
- Pituitary Cyclic Cushing's Syndrome Concomitant with Solitary Cryptococcal Pneumonia Confused with Ectopic ACTH-producing Tumor
- Favorable factors for re-treatment with pegylated interferon α2a plus ribavirin in patients with high viral loads of genotype 1 hepatitis C virus
- A case of chronic active Epstein-Barr virus infection mimicking adult-onset Still's disease
- Acute Pericarditis as the First Manifestation of Familial Mediterranean Fever: A Possible Relationship with Idiopathic Recurrent Pericarditis