Hypernatremia-associated coma caused by glucocorticoid replacement for adrenal crisis in an unrecognized central diabetes insipidus patient

Kai-Jen Tien; Shuo-Yu Wang; Chwen-Yi Yang; Chien-Wen Chou

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Hypernatremia-associated coma caused by glucocorticoid replacement for adrenal crisis in an unrecognized central diabetes insipidus patient

机译：糖皮质激素替代治疗未确诊的中枢性尿崩症患者引起的高钠血症相关昏迷

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摘要

Intracranial germinoma is a rare disease primarily involving midline structures in the brain, with central diabetes insipidus (DI) being the most common presentation. Few cases of intracranial germinoma presenting with adrenal crisis have been reported in the literature. We herein report a unique case of hypernatremic coma after glucocorticoid replacement for adrenal crisis in an unrecognized central DI.

机译：颅内胚芽瘤是一种罕见的疾病，主要涉及大脑中线结构，最常见的表现是中枢尿崩症（DI）。文献中很少报道颅内生殖器瘤出现肾上腺危机。我们在此报告了糖皮质激素替代治疗无法识别的中枢性DI的肾上腺危机后高钠血症昏迷的独特病例。

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《Kaohsiung Journal of Medical Sciences》 |2013年第9期|共2页
作者
Kai-Jen Tien; Shuo-Yu Wang; Chwen-Yi Yang; Chien-Wen Chou;
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中图分类医药、卫生;
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1. Development of Graves' Hyperthyroidism Caused an Adrenal Crisis in a Patient with Previously Unrecognized Non-classical 21-hydroxylase Deficiency [J] . Nobuyuki Takasu, Ken Nakachi, Haruyo Higa Internal medicine. . 2011,第14期

机译：格雷夫斯甲状腺功能亢进症的发展导致先前无法识别的非经典21-羟化酶缺乏症患者的肾上腺危机。
2. Development of Graves' Hyperthyroidism Caused an Adrenal Crisis in a Patient with Previously Unrecognized Non-classical 21-hydroxylase Deficiency [J] . Nobuyuki Takasu, Ken Nakachi, Haruyo Higa Internal medicine. . 2010,第14期

机译：格雷夫斯甲状腺功能亢进症的发展导致先前无法识别的非经典21-羟化酶缺乏症患者的肾上腺危机。
3. Comments on “Efficacy and safety of desmopressin orally disintegrating tablet in patients with central diabetes insipidus: results of a multicenter open-label dose-titration study” —Efficacy and safety of orally disintegrating desmopressin tablets in patients with central diabetes insipidus [Letter to the Editor] [J] . Kyuzi Kamoi Endocrine journal . 2013,第9期

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4. Central regulation of 1/f fluctuations of heart rate variability in patients with coma [C] . Ichimaru, Y., Tanaka, . 1995

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5. Closed-Loop Control of Plasma Osmolality in Patients with Central Diabetes Insipidus. [D] . Zaarouri, Kamel. 2010

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7. Hypernatremia-associated coma caused by glucocorticoid replacement for adrenal crisis in an unrecognized central diabetes insipidus patient [O] . Kai-Jen Tien 2013

机译：肾功能不全患中枢性尿崩症患者肾上腺皮质激素引起的高钠血症相关性昏迷

Hypernatremia-associated coma caused by glucocorticoid replacement for adrenal crisis in an unrecognized central diabetes insipidus patient

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