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KMID : 0359920080270020238
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Korean Journal of Nephrology
2008 Volume.27 No. 2 p.238 ~ p.242
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Multiple Myeloma Presented as Tubulointerstitial Nephritis
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Ryu Dong-Hwan
Kim Seok-Min
Park Jong-Won
Do Jun-Young
Yoon Kyung-Woo
Yoon Kyung-Woo
Kim Yong-Jin
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Abstract
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Oral sodium phosphate is commonly used to evacuate the colon and rectum before colonoscopy or colorectal surgery. However, this substance is known to cause electrolyte abnormalities including hyponatremia. The hyponatremic patient usually presents with headache, nausea, vomiting and confusion, but can also present with non-cardiogenic pulmonary edema, seizure and rhabdomyolysis. However, non-cardiogenic pulmonary edema, seizure and rhabdomyolysis caused by hyponatremia associated with bowel preparation have only rarely been reported. We report a case of severe complications including non-cardiogenic pulmonary edema, seizure and rhabdomyolysis associated with hyponatremia
following ingestion of sodium phosphate for colonoscopy in a 41-year-old healthy male.
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KEYWORD
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Hyponatremia, Pulmonary edema, Seizure, Rhabdomyolysis
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