Syndrome of inappropriate antidiuresis seen twice in eight years.

Abstract:

:We present a rare case of a 66-year-old woman with the syndrome of inappropriate antidiuresis (SIAD) accompanied by an empty sella whose symptoms were seen twice in the eight years after the administration of non-steroidal anti-inflammatory drugs (NSAID) or prochlorperazine. No diuresis or suppression of the plasma level of vasopressin (AVP) was observed after water loading upon cessation of the causative agents. Suppression of the renin-aldosterone system and a low plasma level of atrial natriuretic peptide (ANP) were observed during natriuresis. The plasma levels of AVP were increased after water loadings. Restriction of water intake ameliorated the symptoms and reduced hyponatremia. These findings suggest that NSAID or prochlorperazine caused overt SIAD twice in eight years. The water loading test itself stimulated the release of AVP and a suppression of the renin-aldosterone system played a more important role in natriuresis than ANP in this case.

journal_name

Endocr J

journal_title

Endocrine journal

authors

Shimada T,Higashi K,Kimura K,Shido T,Tomita K

doi

10.1507/endocrj.42.163

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

163-9

issue

2

eissn

0918-8959

issn

1348-4540

journal_volume

42

pub_type

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