Water intoxication following low-dose intravenous cyclophosphamide

  • Tai, Yeon Ko
  • Bae, Sang-Cheol
  • Park, Joon Sung
  • Chang, Hwa Lee
  • Moon, Hyang Park
  • 외 2명
Citations

SCOPUS

11

초록

Cyclophosphamide is frequently used for the treatment of severe lupus nephritis, but is very rarely associated with dilutional hyponatremia. Recently we experienced a case of water intoxication following low-dose intravenous cyclophosphamide. Five hours after one dose of intravenous pulse cyclophosphamide 750 mg, the patient developed nausea, vomiting, and general weakness. Serum sodium concentration revealed 114 mEq/L and her hyponatremia was initially treated with hypertonic saline infusion. Then her serum sodium concentration rapidly recovered to normal with water restriction alone. During the course of intravenous pulse cyclophosphamide therapy, one must be aware of the possibility of significant water retention.

키워드

CyclophosphamideHyponatremiaLupus nephritisWater intoxicationazathioprinecyclophosphamidehydroxychloroquineprednisolonesodiumsodium chlorideadultarticleblood pressurecase reportfemalehistopathologyhumanhuman tissuehyponatremiakidney biopsylow drug dosenauseaside effectsystemic lupus erythematosusvomitingwater intoxicationweakness
제목
Water intoxication following low-dose intravenous cyclophosphamide
저자
Tai, Yeon KoBae, Sang-CheolPark, Joon SungChang, Hwa LeeMoon, Hyang ParkChong, Myung KangKim, Gheun Ho
DOI
10.5049/ebp.2007.5.1.50
발행일
2007-06
유형
Article
저널명
Electrolytes & Blood Pressure
5
1
페이지
50 ~ 54

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