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Vol. 13. Num. 6.November - December 2017
Pages 311-370
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Vol. 13. Num. 6.November - December 2017
Pages 311-370
Case report
DOI: 10.1016/j.reumae.2016.08.006
Hyponatremia as presentation in a patient with neurosarcoidosis
Hiponatremia como presentación en un paciente con neurosarcoidosis
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Ekin Akyildiza, Murat Yalcina, Fidan Severb, Hüseyin Semiza, Senol Kobakc,
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senolkobak@gmail.com

Corresponding author.
a Sifa University, Faculty of Medicine, Department of Rheumatology, Turkey
b Sifa University, Faculty of Medicine, Department of Chest Diseases, Turkey
c Istinye University, Faculty of Medicine, LIV Hospital, Department of Rheumatology, Turkey
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Abstract

Sarcoidosis is an inflammatory disease with unknown cause characterized by non-caseating granuloma formations. It may present with bilateral hilar lymphadenopathy, skin lesions, eye and musculoskeletal system involvement. Hypercalcemia and hypercalciuria are important electrolyte imbalances resulting from sarcoidosis and sometimes they may cause nephrolitiasis and kidney failure. Hyponatremia, although being quite rare, has been found in some patients with sarcoidosis. Herein, we have reported a patient with neurosarcoidosis who presented with hyponatremia and responded well to corticosteroid treatment.

Keywords:
Hyponatremia
Neurosarcoidosis
Presentation
Resumen

La sarcoidosis es una enfermedad inflamatoria, de causa desconocida, que se caracteriza por la formación de granulomas no caseificantes. Se puede presentar con linfadenopatía hiliar bilateral, lesiones en la piel, en los ojos, y la implicación del sistema musculoesquelético. La hipercalcemia y la hipercalciuria son importantes desequilibrios electrolíticos resultantes de la sarcoidosis, y algunas veces pueden causar nefrolitiasis e insuficiencia renal. La hiponatremia, a pesar de ser bastante rara, se ha encontrado en algunos pacientes con sarcoidosis. Aquí, hemos informado de un paciente con neurosarcoidosis que se presentó con hiponatremia y respondió bien al tratamiento con glucocorticoides.

Palabras clave:
Hiponatremia
Neurosarcoidosis
Presentación

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