This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

NAIM SHEHADEH, MD; ABRAHAM BENDERLY, MD; PNINA ERDE, MD; Amos ETZIONI, MD
Department of Pediatrics "A" Rambam Medical Center Technion Faculty of Medicine Haifa, Israel 35254

Am J Dis Child. 1984;138(11):1085.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—Factitious hyponatremia is observed mainly in adults with hyperproteinemia or hyperlipidemia, but it is very rare in children.¹

It was described in children who had uncontrolled diabetes mellitus with hyperglycemia and hyperlipidemia, as well as in patients with nephrotic syndrome and hyperlipidemia.² The large amounts of macromolecules (lipid and/or protein) reduce the percentage of water contained in a unit volume of serum. A factitiously low value of the plasma sodium concentration will be reported, even though the sodium concentration in plasma is normal.

We have cared for a patient who manifested factitious hyponatremia due to hyperproteinemia, which is very rare in children. The patient, a 10-year-old girl, was diagnosed a year before admission as suffering from juvenile arthritis. Later on she manifested non-A, non-B hepatitis and was admitted to our department because of fever and respiratory distress. She had massive lobar pneumonia with pleural effusion. Her . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?