Childhood Kidney Diseases

Korean Society of Pediatric Nephrology (대한소아신장학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Severe Hyponatremia Induced by Radiographic Contrast Agent

조영제 사용으로 유발된 중증 저나트륨혈증 1례

  • Hong, Jeong-Deok (Department of Pediatrics, Chung-Ang University College of Medicine) ;
  • Lim, In-Seok (Department of Pediatrics, Chung-Ang University College of Medicine) ;
  • Choi, Eung-Sang (Department of Pediatrics, Chung-Ang University College of Medicine)
  • 홍정덕 (중앙대학교 의과대학 소아과학교실) ;
  • 임인석 (중앙대학교 의과대학 소아과학교실) ;
  • 최응상 (중앙대학교 의과대학 소아과학교실)
  • Received : 2010.03.15
  • Accepted : 2010.04.23
  • Published : 2010.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Hyponatremia which is a very common electrolyte abnormality in hospitalized patients is defined as a plasma sodium concentration less than 135 mEq/L. Hyponatremia is generally caused by intravascular volume depletion, excessive salt loss and hypotonic fluid overload. It also can be caused by intravascular osmotic agent. Although most cases are mild and asymptomatic, acute severe hyponatremia can cause severe neurologic symptoms, such as seizures and coma. We report a rare case of severe hyponatremia induced by radiographic contrast agent.

조영제 사용으로 유발된 중증 저나트륨혈증이 일어난 경우는 매우 드물다. 저자들은 조영제를 사용한 복부전산화단층촬영을 시행했던 환아에서 중증 저나트륨혈증과 경련이 발생하였으나, 신경학적 검사에서 특별한 이상이 발견되지 않았고, 조영제 이외의 저나트륨혈증의 다른 원인을 발견할 수 없었던 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Larry AG. Electrolyte and acid-base disorders. In: Berman RE, Kliegman RM, Jenson HB, editors. Nelson Textbook of Pediatrics. 18th ed. Philadelphia: W.B. Saunders Co, 2007:272-8.
  2. Joseph GV, Stephen RG, Arthur G, Robert WS, Richard HS. Hyponatremia treatment guidelines 2007: expert panel recommendations. Am J Med 2007;120:S1–21.
  3. Upadhyay A, Jaber BL, Madias NE. Incidence and prevalence of hyponatremia. Am J Med 2006;119(suppl 1):S30-5. https://doi.org/10.1016/j.amjmed.2006.05.005
  4. Weisberg LS. Pseudohyponatremia: a reappraisal review. Am J Med 1989;86:315-8. https://doi.org/10.1016/0002-9343(89)90302-1
  5. Hillier TA, Abbott RD, Barrett EJ. Hyponatremia: evaluating the correction factor for hyperglycemia. Am J Med 1999;106:399-403. https://doi.org/10.1016/S0002-9343(99)00055-8
  6. Sirken G, Raja R, Garces J, Bloom E, Fumo P. Contrast-induced translocational hyponatremia and hyperkalemia in advanced kidney disease. Am J Kidney Dis 2004;43: e31-5. https://doi.org/10.1053/j.ajkd.2003.10.030
  7. Ravi M, editor. Contrast-induced severe hyponatremia in a patient with normal kidney function. Proceedings of the NKF spring clinical meetings; 2007 April 10; Orlando. New York: National Kidney Foundation, 2007:A57.
  8. Hong CU, Choi Y. Fluid and electrolyte balance. In:An HS, editors. Textbook of Pediatrics. 9th ed. Seoul: Daehan, 2007:130-3.