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fredag 9 december 2016

Glimepirin indusoima SIADH tapaus

http://www.diabet-metabolism.com/article/S1262-3636(14)00195-5/abstract

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Department of Internal Medicine, National Center for Global Health and Medicine, Kohnodai Hospital, Chiba, Japan
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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