[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ] |
Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi |
2013, Cilt 27, Sayı 1, Sayfa(lar) 033-037 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
Severe Hyponatremia with Primary Adrenal Insufficiency in Elderly: A Case Report and Review of Literature |
Barış Önder PAMUK1, Sevgi POLAT2, Gülseren PAMUK3 |
1İzmir Katip Çelebi Üniversitesi, İç Hastalıkları Anabilim Dalı, Endokrinoloji Bilim Dalı, İzmir, TÜRKİYE 2İzmir Bozyaka Eğitim ve Araştırma Hastanesi, İç Hastalıkları Kliniği, İzmir, TÜRKİYE 3İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İzmir, TÜRKİYE |
Keywords: Elderly patient, adrenal insufficiency, hyponatremia |
Hyponatremia is the most common cause of electrolyte disorders and also a common cause of
hospitalisation in older people. The causes of hyponatremia involved congestive heart failure, liver
failure, hyperglycemia, using of thiazide and antipsychotics and the hormonal disorders like
hypothyroidism, adrenal failure. In older people, hyponatremia seen more frequently because of the
comorbid diseases and these diseases may be more complicated with the hyponatremia. Adrenal
failure is often accompanying with hyponatremia, hyperpotassemia and hypotension. Tuberculosis
is a common cause of adrenal failure and the mechanism of action has not been understood
exactly. The symptoms and signs of adrenal insufficiency depend on the rate and extent of loss of
adrenal function, and the symptoms develop because of cerebral edema. Symptoms consist of
nausea, vomiting, headeache, muscle cramps, convulsion, coma. Adrenal failure can not be
recognised until the adrenal crisis triggered by an illness or a stress factor. In this case report, we
presented a chronic hyponatremia case with adrenal failure in an elderly patient.
|
[ Turkish ] [ Tam Metin ] [ PDF ] |
[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ] |