Christlieb Haller, MD; Mandeep Dhadly, MD
To the Editors: We report a case of the acute tumor lysis syndrome arising from the empiric administration of "stressdose" glucocorticoids in a 75-year-old man with an occult lymphoid malignancy. The patient presented somnolent with a history of gradually increasing lethargy and hypotension. In 1979 and 1980, he had had craniotomies for the resection of a recurrent sphenoid meningioma. On admission, he had a blood pressure of 90/60 mm Hg. He was afebrile without evidence of infection. The results of the neurologic examination were non-focal in the presence of obtundation. The results of the initial laboratory evaluation were significant only
Haller C, Dhadly M. The Tumor Lysis Syndrome. Ann Intern Med. ;114:808–809. doi: 10.7326/0003-4819-114-9-808_2
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Published: Ann Intern Med. 1991;114(9):808-809.
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