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Zhu CG, Zhang QZ, Zhu M, Zhai QL, Liang XY, Shao ZH, Ver Hoeve EC, Qu HQ. A case report of syndrome of inappropriate antidiuretic hormone secretion with Castleman's disease and lymphoma. BMC Endocr Disord 2013; 13:19. [PMID: 23734852 PMCID: PMC3679987 DOI: 10.1186/1472-6823-13-19] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2012] [Accepted: 05/29/2013] [Indexed: 01/25/2023] Open
Abstract
BACKGROUND Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is a common cause of hyponatremia in hospitalized patients and is often described in patients with small-cell carcinoma of the lung. In this report, we described both Castleman's disease and lymphoma coexisting in one patient with SIADH. CASE PRESENTATION A 70-year-old Chinese woman with a history of diabetes mellitus and insulin therapy had severe hyponatremia and gastrointestinal symptoms. Through a series of examinations, common causes such as pulmonary carcinoma were excluded. An abdominal mass was detected by computed tomography. Although the peripheral lymph node biopsy showed the pathological result as Castleman's disease, the pathology of the abdominal lymph node revealed diffuse large B-cell lymphoma. After chemotherapy, the hyponatremia was treated during a period of follow-up. CONCLUSION This patient presented with the rare clinical condition of inappropriate antidiuretic hormone secretion alongside Castleman's disease and lymphoma. Asymptomatic hyponatremia may persist for some time suggesting that clinical physicians should pay attention to the mild cases of hyponatremia. We also hypothesized that Castleman's disease is a condition of pre-lymphoma with both having the ability to cause SIADH. The possibility of lymphoma as well as Castleman's disease triggering the development of SIADH should also be taken into consideration for conducting recurrent biopsies.
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Affiliation(s)
- Chong-Gui Zhu
- Department of Endocrinology, Tianjin Medical University General Hospital, No 154 Anshan Road, Heping District, Tianjin, 300052, China
| | - Qiu-Zi Zhang
- Department of Endocrinology, Tianjin Medical University General Hospital, No 154 Anshan Road, Heping District, Tianjin, 300052, China
| | - Mei Zhu
- Department of Endocrinology, Tianjin Medical University General Hospital, No 154 Anshan Road, Heping District, Tianjin, 300052, China
| | - Qiong-Li Zhai
- Department of Pathology, Tianjin Medical University Cancer Hospital, Huan-Hu-Xi Road, Tiyuanbei, Hexin District, Tianjin, 300060, China
| | - Xiao-Yu Liang
- Department of Surgery, Tianjin Medical University General Hospital, No 154 Anshan Road, Heping District, Tianjin, 300052, China
| | - Zong-Hong Shao
- Department of Hematology, Tianjin Medical University General Hospital, No 154 Anshan Road, Heping District, Tianjin, 300052, China
| | - Emily C Ver Hoeve
- Division of Epidemiology, Human Genetics and Environmental Sciences, University of Texas School of Public Health, 1200 Herman Pressler, Houston, Texas, 77030, USA
| | - Hui-Qi Qu
- Division of Epidemiology, Human Genetics and Environmental Sciences, University of Texas School of Public Health, 1200 Herman Pressler, Houston, Texas, 77030, USA
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