Abstract
Three children with malignant solid tumors developed hyponatremia with renal sodium wasting associated with other signs of tubular dysfunction, such as hypokalemia or hypomagnesemia, a few days after cis-diammine dichloroplatinum (CDDP) administration. The normalization of serum electrolyte disturbances was obtained with increased parenteral intakes in fluids and electrolytes, and renal sodium wasting stopped by itself a few days later.
MeSH terms
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Adolescent
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Bone Neoplasms / complications
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Bone Neoplasms / drug therapy
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Child
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Cisplatin / adverse effects*
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Cisplatin / therapeutic use
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Diagnosis, Differential
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Female
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Humans
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Hyponatremia / chemically induced*
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Hyponatremia / diagnosis
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Ilium
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Inappropriate ADH Syndrome / diagnosis
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Infant
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Kidney Diseases / chemically induced*
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Kidney Diseases / metabolism
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Kidney Tubules, Proximal / drug effects
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Kidney Tubules, Proximal / metabolism
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Male
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Neuroblastoma / complications
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Neuroblastoma / drug therapy
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Sarcoma, Ewing / complications
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Sarcoma, Ewing / drug therapy
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Sodium / metabolism
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Thoracic Neoplasms / complications
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Thoracic Neoplasms / drug therapy