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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2010  |  Volume : 21  |  Issue : 1  |  Page : 113-117
Behavioural induced severe hypernatremia without neurological manifestations


1 Department of Accident and Emergency, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia
2 Department of Critical Care and Emergency Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Hossam A Hassan
Department of Accident and Emergency King Khalid University Hospital, Dept. 65 King Saud University, P.O. Box, 7805, Riyadh 11472
Saudi Arabia
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PMID: 20061704

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Hypernatremia is a relatively common entity and is more prevalent among the elderly and critically ill. A number of medical conditions are commonly associated with hypernatremia, and these differ substantially among children and adults. Severe hypernatremia is usually associated with central nervous system manifestations and carries a high mortality rate. We report a case of a female patient who presented to the emergency department of the King Khalid University Hospital, Riyadh, Saudi Arabia with severe hypernatremia and without any associated co-morbid conditions or neurological manifestations. We did not find any etiological background despite extensive eva­luation other than under hydration due to decreased fluid intake, which was secondary to beha­vioural causes.


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