Abstract
Two patients developed severe hyponatremia attributed to inappropriate antidiuretic hormone secretion during a crisis of acute porphyria, and were treated with intravenous hypertonic sodium solution. One of them developed clinical and radiological findings of pontine and extrapontine myelinolysis, which may constitute a risk in the treatment of this complication.
Publication types
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Case Reports
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English Abstract
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Research Support, Non-U.S. Gov't
MeSH terms
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Acute Disease
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Adult
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Brain Diseases / diagnosis
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Brain Diseases / etiology*
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Demyelinating Diseases / diagnosis
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Demyelinating Diseases / etiology*
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Female
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Humans
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Hyponatremia / complications
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Hyponatremia / diagnosis
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Hyponatremia / etiology*
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Hyponatremia / therapy
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Inappropriate ADH Syndrome / complications
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Pons*
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Porphyrias / complications*
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Porphyrias / diagnosis
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Porphyrias / therapy
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Porphyrins / analysis