Simultaneous Occurrence of Hyponatremia and Hypokalemia in a Patient with Herpes Zoster: A Case Report with a Review of the Literature.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-01-15 Epub Date: 2024-05-30 DOI:10.2169/internalmedicine.3795-24

Satoshi Yamagata, Kazunori Kageyama, Miyuki Yanagimachi, Hiroshi Murakami, Makoto Daimon

引用次数: 0

Abstract

We herein report a patient with herpes zoster (HZ), severe hyponatremia, and hypokalemia. Syndrome of inappropriate antidiuresis (SIAD) leads to euvolemic hyponatremia and hypoosmotic plasma due to inadequate diuresis. Hyponatremia in the current patient was caused by SIAD and associated with HZ of the trigeminal facial nerve (V1). The patient also had hypokalemia, with excessive urinary potassium excretion and elevated cortisol levels. Hypokalemia is caused by hypercortisolemia, which is stimulated by HZ pain. Adequate treatment for HZ and comprehensive pain control play pivotal roles in improving SIAD, cortisol hypersecretion, and the subsequent electrolyte abnormalities.

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带状疱疹患者同时出现低钠血症和低钾血症：病例报告与文献综述。

我们在此报告一名患有带状疱疹（HZ）、严重低钠血症和低钾血症的患者。不适当的抗利尿综合征（SIAD）会因利尿不足而导致无冲量性低钠血症和低渗透血浆。该患者的低钠血症由 SIAD 引起，与三叉神经面神经（V1）的 HZ 有关。患者还伴有低钾血症、尿钾排泄过多和皮质醇水平升高。低钾血症是由高皮质醇血症引起的，而高皮质醇血症会受到 HZ 疼痛的刺激。适当的 HZ 治疗和全面的疼痛控制对改善 SIAD、皮质醇分泌过多以及随后的电解质异常起着关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.