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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2017  |  Volume : 28  |  Issue : 3  |  Page : 625-628
Recurrent syndrome of inappropriate antidiuretic hormone secretion due to tolterodine in an elderly male patient


1 Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
2 Department of Internal Medicine, Division of Nephrology, Security Force Hospital, Eastern Province, Dammam, Saudi Arabia
3 Department of Pathology, Dammam Medical Complex, Dammam, Saudi Arabia

Correspondence Address:
Abdullah K Alhwiesh
Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar
Saudi Arabia
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DOI: 10.4103/1319-2442.206471

PMID: 28540903

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Hyponatremia is defined as serum sodium of <135 mmol/L and equates with a low serum osmolality once translocational hyponatremia and pseudohyponatremia are ruled out. True hyponatremia develops when normal urine-diluting mechanisms are disturbed. In elderly patients, this complication is not uncommon, especially in nursing homes and assisted living facilities. Medications are often the most common cause of hyponatremia in these patients. Herewith, we reported a 65-year-old Saudi male, a known case of benign prostatic hypertrophy and hypertension, who developed recurrent hyponatremia secondary to tolterodine. To our knowledge, this is the fifth case reported in literature of such association.


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