A Case of SIADH in Small Cell Lung Cancer

소세포폐암에서 발생한 부적절 항이뇨 호르몬 분비 증후군(SIADH) 1례

  • Won, Kyu-Chang (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lim, Jong-Sik (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Chan-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Hyoung-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Choong-Ki (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Chung, Jin-Hong (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Hyun, Myoung-Soo (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Shim, Bong-Sup (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Hyun-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University)
  • 원규장 (영남대학교 의과대학 내과학교실) ;
  • 임종식 (영남대학교 의과대학 내과학교실) ;
  • 이찬우 (영남대학교 의과대학 내과학교실) ;
  • 이형우 (영남대학교 의과대학 내과학교실) ;
  • 이충기 (영남대학교 의과대학 내과학교실) ;
  • 정진홍 (영남대학교 의과대학 내과학교실) ;
  • 현명수 (영남대학교 의과대학 내과학교실) ;
  • 심봉섭 (영남대학교 의과대학 내과학교실) ;
  • 이현우 (영남대학교 의과대학 내과학교실)
  • Published : 1991.12.30

Abstract

The syndrome of inappropriate ADH secretion is a disorder characterized by hyponatremia which results from water retention attributable to ADH release. The hallmark of SIADH is hyponatremia due to water retention, in the presence of urinary osmolality above plasma osmolality. The SIADH was initially described by Schwartz et al(1957). This syndrome, first recoginzed in patients with bronchogenic carcinoma, has now been observed in a variety of other illnesses. Recently, we encountered a 59 year-old female with small cell lung cancer, also she had SIADH. Thus, we present a case and review the literature on the subject.

저자들은 의식혼탁 및 기면상태를 주소로 내원한 59세 여자환자에서 소세포 폐암과 동반된 부적절 항이뇨 호르몬 분비 증후군 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords