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The “new normal” osmotic threshold: Osmostat reset
Hyponatremia is the most common electrolyte disorder in hospitalized patients. The syndrome of inappropriate antidiuresis (SIAD) is one of the leading causes of hyponatremia. Although not widely known, SIAD has a vast spectrum of etiologies and differential diagnoses and has been classically divided...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dustri-Verlag Dr. Karl Feistle
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750962/ https://www.ncbi.nlm.nih.gov/pubmed/35028281 http://dx.doi.org/10.5414/CNCS110740 |
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author | Rigueto, Larissa G. Santiago, Henrique M. Hadad, David J. Seguro, Antonio Carlos Girardi, Adriana Castello C. Luchi, Weverton M. |
author_facet | Rigueto, Larissa G. Santiago, Henrique M. Hadad, David J. Seguro, Antonio Carlos Girardi, Adriana Castello C. Luchi, Weverton M. |
author_sort | Rigueto, Larissa G. |
collection | PubMed |
description | Hyponatremia is the most common electrolyte disorder in hospitalized patients. The syndrome of inappropriate antidiuresis (SIAD) is one of the leading causes of hyponatremia. Although not widely known, SIAD has a vast spectrum of etiologies and differential diagnoses and has been classically divided into four types (A, B, C, D). Frequently, when we use the term SIAD in clinical practice, it refers to subtype A, the so-called classic SIAD. The purpose of reporting this case is to make the clinicians aware of a specific subtype of SIAD, type C, an underdiagnosed entity called osmostat reset (OR). Due to similarities, OR often ends up being misinterpreted as classic SIAD. However, the differentiation between these two entities is crucial due to treatment implications. This manuscript highlights the use of an algorithm, based on the fraction of uric acid excretion, as an approach to the differential diagnosis of hyponatremia. |
format | Online Article Text |
id | pubmed-8750962 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dustri-Verlag Dr. Karl Feistle |
record_format | MEDLINE/PubMed |
spelling | pubmed-87509622022-01-12 The “new normal” osmotic threshold: Osmostat reset Rigueto, Larissa G. Santiago, Henrique M. Hadad, David J. Seguro, Antonio Carlos Girardi, Adriana Castello C. Luchi, Weverton M. Clin Nephrol Case Stud Case Report Hyponatremia is the most common electrolyte disorder in hospitalized patients. The syndrome of inappropriate antidiuresis (SIAD) is one of the leading causes of hyponatremia. Although not widely known, SIAD has a vast spectrum of etiologies and differential diagnoses and has been classically divided into four types (A, B, C, D). Frequently, when we use the term SIAD in clinical practice, it refers to subtype A, the so-called classic SIAD. The purpose of reporting this case is to make the clinicians aware of a specific subtype of SIAD, type C, an underdiagnosed entity called osmostat reset (OR). Due to similarities, OR often ends up being misinterpreted as classic SIAD. However, the differentiation between these two entities is crucial due to treatment implications. This manuscript highlights the use of an algorithm, based on the fraction of uric acid excretion, as an approach to the differential diagnosis of hyponatremia. Dustri-Verlag Dr. Karl Feistle 2022-01-10 /pmc/articles/PMC8750962/ /pubmed/35028281 http://dx.doi.org/10.5414/CNCS110740 Text en © Dustri-Verlag Dr. K. Feistle https://creativecommons.org/licenses/by/2.5/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Rigueto, Larissa G. Santiago, Henrique M. Hadad, David J. Seguro, Antonio Carlos Girardi, Adriana Castello C. Luchi, Weverton M. The “new normal” osmotic threshold: Osmostat reset |
title | The “new normal” osmotic threshold: Osmostat reset |
title_full | The “new normal” osmotic threshold: Osmostat reset |
title_fullStr | The “new normal” osmotic threshold: Osmostat reset |
title_full_unstemmed | The “new normal” osmotic threshold: Osmostat reset |
title_short | The “new normal” osmotic threshold: Osmostat reset |
title_sort | “new normal” osmotic threshold: osmostat reset |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750962/ https://www.ncbi.nlm.nih.gov/pubmed/35028281 http://dx.doi.org/10.5414/CNCS110740 |
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