低钠血症
视神经脊髓炎
医学
光谱紊乱
介绍(产科)
抗利尿激素分泌不当综合征
并发症
儿科
病理生理学
重症监护医学
抗利尿药
多发性硬化
加压素
内科学
免疫学
外科
精神科
作者
Siqi Yang,Juan Tian,Hui Huang,Zhe Yan
标识
DOI:10.1016/j.clinthera.2021.10.001
摘要
The diagnosis of neuromyelitis optica spectrum disorder (NMOSD) is easily missed or delayed because of its multiple clinical features, especially at initial presentation. Hyponatremia is an infrequent complication of NMOSD and can present as an initial sign. Hyponatremia in a patient with NMOSD might be caused by autoimmune-related antibodies that attack the hypothalamus, causing inappropriate antidiuretic hormone secretion. Awareness of this pathophysiologic mechanism will help clinicians in the early diagnosis of NMOSD. We report a case of NMOSD with hyponatremia as the initial presentation.
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