Conduite à tenir face au syndrome de sécrétion inappropriée d’hormone antidiurétique (SIADH) [Approach to the syndrome of inappropriate antidiuretic hormone secretion (SIADH)]

Details

Serval ID
serval:BIB_E1CCD25F7AC2
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Conduite à tenir face au syndrome de sécrétion inappropriée d’hormone antidiurétique (SIADH) [Approach to the syndrome of inappropriate antidiuretic hormone secretion (SIADH)]
Journal
Revue medicale suisse
Author(s)
Martin J., Burnier M., Lu H.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
21/11/2018
Peer-reviewed
Oui
Volume
14
Number
628
Pages
2116-2120
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is defined by euvolemic hyponatremia due to an inappropriate retention of free water under the effect of antidiuretic hormone. It is underdiagnosed despite well-defined criteria. Diagnosis involves a precise evaluation of volemia and the elimination of differential diagnoses. The etiologies are classified into four main groups : tumors, drugs, diseases of the central nervous system and lung diseases. In the case of a newly diagnosed SIADH, investigations depend on the clinical context and should at least include a chest radiograph or a chest CT-scan. Fluid restriction is the recommended first-line treatment for mild or moderate hyponatremia. However, only the etiologic treatment leads to the disappearance of SIADH.
Keywords
Diagnosis, Differential, Humans, Hyponatremia/etiology, Inappropriate ADH Syndrome/complications, Inappropriate ADH Syndrome/diagnosis, Inappropriate ADH Syndrome/therapy, Vasopressins/therapeutic use
Pubmed
Create date
27/11/2018 10:06
Last modification date
20/08/2019 17:05
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