Syndrome
of inappropriate antidiuretic hormone secretion (SIADH) is
characterized by hyponatraemia (serum Na < 135 mmol/L) without
dehydration, increased renal excretion of sodium (urinary
Na > 20 mmol/L), detectable plasma antidiuretic hormone (ADH) in
spite of hyponatraemia, low plasma osmolality (< 280 mOsm/kg) and
high urinary osmolality (> 300 mOsm/kg) in the presence of normal
renal and adrenal function. Here, we describe the first case of SIADH
induced by the third-generation sulphonylurea glimepiride.
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