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KMID : 1128320200180010019
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Electrolytes & Blood Pressure
2020 Volume.18 No. 1 p.19 ~ p.22
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Recurrent Severe Hyponatremia in a Patient with Sjogren's Syndrome
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Kim Hyung-Duk
Lee Jennifer
Chung Byung-Ha
Yang Chul-Woo
Kim Yong-Soo
Park Cheol-Whee
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Abstract
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Sjogren's syndrome (SS) is an autoimmune disease that presents with exocrine gland dysfunction. Renal involvement is common in SS and often results in tubulointerstitial nephritis, renal tubular acidosis, and Fanconi's syndrome. Electrolyte imbalances are commonly the first symptom of renal involvement of SS. The most common feature of dysnatremia in SS is hypernatremia with diabetes insipidus. However, cases of hyponatremia with syndrome of inappropriate antidiuretic hormone secretion (SIADH) are rarely reported in patients with SS. Herein, we report a case of recurrent severe SIADH in a patient with SS.
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KEYWORD
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Duloxetine hydrochloride, Hyponatremia, Inappropriate ADH syndrome, Sjogren's syndrome
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