REPORT
Nobel Med 2018; 14(1): 49-54

SYNDROME OF INAPPROPRIATE SECRETION OF ANTI DIURETIC HORMONE (SIADH) WITH THE COEXISTENCE OF SJÖGREN'S SYNDROME AND SMALL CELL LUNG CANCER: A CASE REPORT OF INTRACTABLE HYPONATREMIA

Yuejiang Jiao, Hui Liu, Liping Li,Yujin Ma, Hongwei Jiang
ABSTRACT
Syndrome of inappropriate secretion of Anti Diuretic Hormone (SIADH) resulting from a variety of disorders with multifactorial etiology, complex pathophysiologic changes and multitude manifestation, is quite common but intractable in clinic.

56-year-old female was admitted with complaints of weakness, nausea, inapetence and vomit. The patient was absent of hypovolemia during hospitalization, without cough, muscle or joint pain, but showed slight dry mouth. Serum sodium level fluctuated within, and plasma osmolality ranged from 241.2 to 257.2 mOsm/L. Yet hyponatremia didn’t respond to the treatment of natrium supplementation 0.23-0.26mmol/d through intravenous infusion. Then the patient was diagnosed with SIADH associated with Sjögren's syndrome (SS). The weakness and nausea, inapetence of the patient gradually returned to a normal baseline after fluid restriction and prednisone tablets were administered. After 4-week’s application of prednisone tablets

(30mg/d), weakness and nausea, inapetence gradually returned to the normal baseline.

Prednisone administration decreased to 25mg/d during the 5th week and cut 5mg per month regularly. Emerging respiratory signs made the patient hospitalized again. Multi-slice spiral computed tomography (CT) examination of lung revealed a nodule located in the right main bronchial, eventually she was diagnosed with small cell lung cancer (SCLC) by the following fiber bronchoscope and biopsy. After 1st round of chemotherapy, the signs and symptoms above began to remit. SIADH is constantly correlated with a malignant tumor; meanwhile the patients with autoimmune disorders (such as SS) are exposed to the increasing risk of carcinoma.
It is concluded that the symptoms of SIADH were obvious because she had both SS and SCLC.

LIVER AND SYSTEMIC DISEASES

05-09

Sebati Özdemir

REVIEW Nobel Med 2013; 9(2): 5-9

AGING KIDNEY: SENESCENCE OR DISEASE?

10-14

Meltem Gürsu, Rümeyza Kazancıoğlu, Savaş Öztürk

REVIEW Nobel Med 2013; 9(2): 10-14

IMPORTANCE OF HOLOTRANSCOBALAMIN (HOLOTC) MEASUREMENTS IN EARLY DIAGNOSIS OF COBALAMIN DEFICIENCY, ESPECIALLY IN PATIENTS WITH BORDERLINE VITAMIN B12 CONCENTRATIONS

15-20

Faruk Sönmezışık, Esma Sürmen Gür, Burak Asıltaş

RESEARCH ARTICLE Nobel Med 2013; 9(2): 15-20

EVALUATION OF PHYSICAL GROWTH IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER

21-25

Celalettin Koşan, Oğuzhan Sepetçigil, Atilla Çayır, Avni Kaya, Behzat Özkan

RESEARCH ARTICLE Nobel Med 2013; 9(2): 21-25

COMPARISON OF RISK INDEXES USED IN DETERMINING THE POSTOPERATIVE RESPIRATORY INSUFFICIENCY RISK

26-31

Gülsüm Kavalcı, Cavidan Arar, Alkın Çolak, Nesrin Turan, Cemil Kavalcı

RESEARCH ARTICLE Nobel Med 2013; 9(2): 26-31

THE EVALUATION OF PRENATAL AND ENVIROMENTAL RISK FACTORS IN CHILDREN WITH ASTHMA, ALLERGIC RHINITIS AND BRONCHIAL ASTHMA ABSTRACT

32-37

Mehmet İbrahim Turan, Müferet Ergüven, Mehmet Özdemir

RESEARCH ARTICLE Nobel Med 2013; 9(2): 32-37

REOPERATIONS AND MORBIDITY IN THYROID SURGERY

38-42

Serkan Teksöz, Murat Özcan, Aytül Sargan, Yusuf Bukey, Recep Özgültekin, Ateş Özyeğin

RESEARCH ARTICLE Nobel Med 2013; 9(2): 38-42

EFFECTS OF RAMADAN FASTING ON BLOOD PRESSURE CONTROL, LIPID PROFILE, BRAIN NATRIURETIC PEPTIDE, RENAL FUNCTIONS AND ELECTROLYTE LEVELS IN HYPERTENSIVE PATIENTS TAKING COMBINATION THERAPY

43-46

İbrahim Faruk Aktürk, İsmail Bıyık, Cüneyt Koşaş, Ahmet Arif Yalçın, Mehmet Ertürk, Fatih Uzun

RESEARCH ARTICLE Nobel Med 2013; 9(2): 43-46

MANAGEMENT OF A LARGE OUTBREAK CAUSED BY NOROVIRUS AND CAMPYLOBACTER JEJUNI OCCURRED IN A RURAL AREA IN TURKEY

47-51

İbak Gönen

RESEARCH ARTICLE Nobel Med 2013; 9(2): 47-51

FREQUENT CD99 AND FLI-1 EXPRESSIONS IN DIFFUSE LARGE B-CELL LYMPHOMA AND THEIR ASSOCIATION WITH PROLIFERATIVE AND APOPTOTIC RATES

52-56

Ufuk Berber, İsmail Yılmaz, Tolga Tuncel, Zafer Küçükodacı Aptullah Haholu

RESEARCH ARTICLE Nobel Med 2013; 9(2): 52-56
  • Pubmed Style
    Yuejiang Jiao, Hui Liu, Liping Li,Yujin Ma, Hongwei Jiang. [SYNDROME OF INAPPROPRIATE SECRETION OF ANTI DIURETIC HORMONE (SIADH) WITH THE COEXISTENCE OF SJÖGREN'S SYNDROME AND SMALL CELL LUNG CANCER: A CASE REPORT OF INTRACTABLE HYPONATREMIA]. Nobel Med 2018; 14(1): 49-54, English.
  • Web Style
    Yuejiang Jiao, Hui Liu, Liping Li,Yujin Ma, Hongwei Jiang. [SYNDROME OF INAPPROPRIATE SECRETION OF ANTI DIURETIC HORMONE (SIADH) WITH THE COEXISTENCE OF SJÖGREN'S SYNDROME AND SMALL CELL LUNG CANCER: A CASE REPORT OF INTRACTABLE HYPONATREMIA]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], English.
  • AMA (American Medical Association) Style
    Yuejiang Jiao, Hui Liu, Liping Li,Yujin Ma, Hongwei Jiang. [SYNDROME OF INAPPROPRIATE SECRETION OF ANTI DIURETIC HORMONE (SIADH) WITH THE COEXISTENCE OF SJÖGREN'S SYNDROME AND SMALL CELL LUNG CANCER: A CASE REPORT OF INTRACTABLE HYPONATREMIA]. Nobel Med 2018; 14(1): 49-54, English.
  • Vancouver/ICMJE Style
    Yuejiang Jiao, Hui Liu, Liping Li,Yujin Ma, Hongwei Jiang. [SYNDROME OF INAPPROPRIATE SECRETION OF ANTI DIURETIC HORMONE (SIADH) WITH THE COEXISTENCE OF SJÖGREN'S SYNDROME AND SMALL CELL LUNG CANCER: A CASE REPORT OF INTRACTABLE HYPONATREMIA]. Nobel Med (2018); 14(1): 49-54, [cited Mayıs 24, 2021], English.
  • Harvard Style
    Yuejiang Jiao, Hui Liu, Liping Li,Yujin Ma, Hongwei Jiang. (2018) [SYNDROME OF INAPPROPRIATE SECRETION OF ANTI DIURETIC HORMONE (SIADH) WITH THE COEXISTENCE OF SJÖGREN'S SYNDROME AND SMALL CELL LUNG CANCER: A CASE REPORT OF INTRACTABLE HYPONATREMIA]. Nobel Med, 14(1): 49-54, English.