In the deep sea of Hyponatremia: A case series

Authors

  • Mahbub Mayukh Rishad Registrar of Medicine, Popular Medical College, Dhaka, Bangladesh
  • Ishrat Binte Reza Assistant. Professor of Medicine, Popular Medical College, Dhaka, Bangladesh
  • Sumaiya Akter Assistant Registrar of Medicine, popular Medical College, Dhaka, Bangladesh
  • Navid Tanveer Assistant Registrar of Medicine, Popular Medical College, Dhaka, Bangladesh
  • Nawsabah Noor Registrar of Medicine, Popular Medical College, Dhaka, Bangladesh
  • Tasmina Chowdhury Assistant. Professor of Medicine, Popular Medical College, Dhaka, Bangladesh
  • Mohammad Zahiruddin Professor of Medicine, Popular Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjm.v35i1.65254

Keywords:

Hyponatremia, Pituitary insufficiency, Megestrol acetate, Adrenal insufficiency, ACTH suppression.

Abstract

Hyponatremia is a matter of concern in clinical practice. Hyponatremia can be associated both low or high tonicity and even with normal tonicity. Although severity and morbidity varies widely but sometimes serious hazard can occur from misdiagnosis or late diagnosis. In these 3 case we will discuss different pattern of presentations of hyponatremia. Megestrol acetate is a synthetic progestin used to treat the symptoms of loss of appetite and wasting syndrome in people with AIDS-related cachexia, breast cancer or endometrial cancer. Herein, we report a case of 32 years’ female presented with clinical and biochemical features of central adrenal insufficiency who was taking megestrol acetate chronically. Pituitary function was otherwise essentially normal. Another case about a 46 year old male who was getting treatment for schizophrenia and later found to have hypopituitarism. Our last case about a male of 35 years old who was also diagnosed to have pituitary insufficiency.

Bangladesh J Medicine 2024; 35(1): 33-37

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Published

2024-01-04

How to Cite

Mahbub Mayukh Rishad, Reza, I. B. ., Akter, S., Tanveer, N. ., Noor, N., Chowdhury, T., & Zahiruddin, M. (2024). In the deep sea of Hyponatremia: A case series. Bangladesh Journal of Medicine, 35(1), 33–37. https://doi.org/10.3329/bjm.v35i1.65254

Issue

Section

Case Reports