Profound hyponatremia and dehydration: A case of cisplatin induced renal salt wasting syndrome

Author:

George Tissa Bijoy1ORCID,Kuriakose Kiran2,Pillai Anjana Chandrasekhara1,Powell Thomas3,Kleyman Thomas R.4ORCID

Affiliation:

1. Department of Internal Medicine, UPMC McKeesport Pittsburgh Pennsylvania USA

2. Department of Hospital Medicine, UPMC Mercy Pittsburgh Pennsylvania USA

3. PINE Nephrology, UPMC McKeesport Pittsburgh Pennsylvania USA

4. Department of Medicine, Department of Cell Biology, Department of Pharmacology and Chemical Biology University of Pittsburgh Pittsburgh Pennsylvania USA

Abstract

AbstractCisplatin is a well‐known chemotherapeutic agent that can be associated with hyponatremia. It is known to be associated with a multitude of renal disorders including acute kidney injury with reduced glomerular filtration, Fanconi syndrome, and renal tubular acidosis, nephrogenic diabetes insipidus and renal salt wasting syndrome. We report a case of an elderly male presenting with significant recurrent hyponatremia, and prerenal azotemia. With recent exposure to cisplatin along with significant hypovolemia and urinary loss of sodium, he was diagnosed to have cisplatin induced renal salt wasting syndrome.

Funder

National Institutes of Health

Publisher

Wiley

Subject

Physiology (medical),Physiology

Reference17 articles.

1. Cisplatin‐induced acute hyponatremia leading to a seizure and coma: a case report;Cheng C. Y.;Chang Gung Medical Journal,2011

2. Nephrotoxicity and Hydration Management for Cisplatin, Carboplatin, and Ormaplatin

3. Cisplatin nephrotoxicity: experimental and clinical studies;Daugaard G.;Danish Medical Bulletin,1990

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