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 JiangABSTRACT
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.
EXPERIMENTAL ANIMAL MODELS FOR ALZHEIMER DISEASE
05-13Hatice Kübra Elçioğlu, Gizem Yılmaz, Birkan İlhan, Mehmet Akif Karan
REVIEW Nobel Med 2018; 14(1): 5-13OCCUPATIONAL PHYSICIANS AND JOB SATISFACTION IN ANKARA
14-22Mustafa Çakır, Mustafa Necmi İlhan
RESEARCH ARTICLE Nobel Med 2018; 14(1): 14-22ANALYSIS OF TURKISH VALIDITY AND RELIABILITY OF NURSING EFFECTIVENESS OF ETHICS EDUCATION SCALE
31-38Çağatay Üstün, Esra Akın Korhan, Derya Uzelli Yılmaz
RESEARCH ARTICLE Nobel Med 2018; 14(1): 31-38AN INVESTIGATION OF CHILDHOOD TRAUMA IN PATIENTS WITH PANIC DISORDER
39-48Safiye Bahar Ölmez, Büşra Bahar Ataoğlu, Zehra Başar Kocagöz, Özge Pasin
RESEARCH ARTICLE Nobel Med 2018; 14(1): 39-48SYNDROME 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
49-54Yuejiang Jiao, Hui Liu, Liping Li,Yujin Ma, Hongwei Jiang
REPORT Nobel Med 2018; 14(1): 49-54ORD. PROF. DR. SÜREYYA TAHSİN AYGÜN (1895-1981) FIRST SCIENTIST IN THE WORLD WORKING ON STEM CELL
55-57Ece Nur Çınar, Elif Vatanoğlu-Lutz
A PORTRAIT Nobel Med 2018; 14(1): 55-57LIVER AND SYSTEMIC DISEASES
05-09Sebati Özdemir
REVIEW Nobel Med 2013; 9(2): 5-9AGING KIDNEY: SENESCENCE OR DISEASE?
10-14Meltem Gürsu, Rümeyza Kazancıoğlu, Savaş Öztürk
REVIEW Nobel Med 2013; 9(2): 10-14IMPORTANCE OF HOLOTRANSCOBALAMIN (HOLOTC) MEASUREMENTS IN EARLY DIAGNOSIS OF COBALAMIN DEFICIENCY, ESPECIALLY IN PATIENTS WITH BORDERLINE VITAMIN B12 CONCENTRATIONS
15-20Faruk Sönmezışık, Esma Sürmen Gür, Burak Asıltaş
RESEARCH ARTICLE Nobel Med 2013; 9(2): 15-20EVALUATION OF PHYSICAL GROWTH IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER
21-25Celalettin Koşan, Oğuzhan Sepetçigil, Atilla Çayır, Avni Kaya, Behzat Özkan
RESEARCH ARTICLE Nobel Med 2013; 9(2): 21-25COMPARISON OF RISK INDEXES USED IN DETERMINING THE POSTOPERATIVE RESPIRATORY INSUFFICIENCY RISK
26-31Gülsüm Kavalcı, Cavidan Arar, Alkın Çolak, Nesrin Turan, Cemil Kavalcı
RESEARCH ARTICLE Nobel Med 2013; 9(2): 26-31THE EVALUATION OF PRENATAL AND ENVIROMENTAL RISK FACTORS IN CHILDREN WITH ASTHMA, ALLERGIC RHINITIS AND BRONCHIAL ASTHMA ABSTRACT
32-37Mehmet İbrahim Turan, Müferet Ergüven, Mehmet Özdemir
RESEARCH ARTICLE Nobel Med 2013; 9(2): 32-37REOPERATIONS AND MORBIDITY IN THYROID SURGERY
38-42Serkan Teksöz, Murat Özcan, Aytül Sargan, Yusuf Bukey, Recep Özgültekin, Ateş Özyeğin
RESEARCH ARTICLE Nobel Med 2013; 9(2): 38-42EFFECTS OF RAMADAN FASTING ON BLOOD PRESSURE CONTROL, LIPID PROFILE, BRAIN NATRIURETIC PEPTIDE, RENAL FUNCTIONS AND ELECTROLYTE LEVELS IN HYPERTENSIVE PATIENTS TAKING COMBINATION THERAPY
43-46İbrahim Faruk Aktürk, İsmail Bıyık, Cüneyt Koşaş, Ahmet Arif Yalçın, Mehmet Ertürk, Fatih Uzun
RESEARCH ARTICLE Nobel Med 2013; 9(2): 43-46MANAGEMENT OF A LARGE OUTBREAK CAUSED BY NOROVIRUS AND CAMPYLOBACTER JEJUNI OCCURRED IN A RURAL AREA IN TURKEY
47-51İbak Gönen
RESEARCH ARTICLE Nobel Med 2013; 9(2): 47-51FREQUENT CD99 AND FLI-1 EXPRESSIONS IN DIFFUSE LARGE B-CELL LYMPHOMA AND THEIR ASSOCIATION WITH PROLIFERATIVE AND APOPTOTIC RATES
52-56Ufuk 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.