Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Feb 23;15(2):e35350.
doi: 10.7759/cureus.35350. eCollection 2023 Feb.

A Case Series of Uncommon Sodium Disorders in Common Clinical Scenarios

Lakshmi Kannan  1 , Anfal Fahim  2
Affiliations
Case Reports

A Case Series of Uncommon Sodium Disorders in Common Clinical Scenarios

Lakshmi Kannan et al. Cureus. .

Abstract

Dysnatremias or sodium disorders (either hyponatremia or hypernatremia) are the most common electrolyte problems in clinical medicine. They pose diagnostic and therapeutic challenges and have high mortality. Even mild changes in sodium levels from normal are associated with worse outcomes and considerable morbidity and mortality. We present a series of four patients with either hypo- or hypernatremia in different clinical scenarios requiring immediate treatment with close monitoring to avoid overcorrection. This case series shows that uncommon or unusual sodium disorders can happen in an otherwise usual situation.

Keywords: cancer; chronic kidney disease; cirrhosis; hypernatremia; hyponatremia.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Fluid balance concepts in medicine: principles and practice. Roumelioti ME, Glew RH, Khitan ZJ, et al. World J Nephrol. 2018;7:1–28. - PMC - PubMed
    1. Hyponatremia and arginine vasopressin dysregulation: mechanisms, clinical consequences, and management. Miller M. J Am Geriatr Soc. 2006;54:345–353. - PubMed
    1. Physiology and pathophysiology of the vasopressin-regulated renal water reabsorption. Boone M, Deen PM. Pflugers Arch. 2008;456:1005–1024. - PMC - PubMed
    1. Vasopressin: physiology, assessment and osmosensation. Bankir L, Bichet DG, Morgenthaler NG. J Intern Med. 2017;282:284–297. - PubMed
    1. Influence of preoperative sodium concentration on outcome of patients with hepatitis B virus cirrhosis after liver transplantation. Wang P, Huang G, Tam N, et al. Eur J Gastroenterol Hepatol. 2016;28:1210–1215. - PubMed

Publication types

LinkOut - more resources