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KMID : 0359920070260040455
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Korean Journal of Nephrology
2007 Volume.26 No. 4 p.455 ~ p.459
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A Case of Hyponatremia in Hypothyroidism
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Woo Kyung-Hee
Cho Min-Ho
Kim Jin-Kyung
Park In-Il
Kim Eun-Jung
Kim Su-Jin
Park Tae-Jin
Lee Young-Ki
Noh Jung-Woo
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Abstract
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Hypothyroidism is widely accepted as a cause of hyponatremia, but severe hyponatremia in hypothyroidism is clinically rare. We report a case of 74-year-old female patient presented with severe hyponatremia and hypothyroidism. Hyponatremia gradually improved with water restriction and hypertonic sodium infusion prior to the initiation of thyroid hormone replacement. After a diagnosis of Hashimoto`s thyroiditis had been made, the patient was treated with levothyroxine. She remained well on maintenance dose of levothyroxine with euthyroid and normal serum sodium level.
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KEYWORD
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Hyponatremia, Hypothyroidism, Thyroid hormones
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