JEFFREY BODACK, M.D.
To the editor: In the recent paper by Vagenakis, Dole, and Braverman, "Pituitary Enlargement, Pituitary Failure, and Primary Hypothyroidism" (Ann Intern Med 85:195-198, 1976), the authors state that their second patient suffered from the inappropriate ADH syndrome (1), with sodium concentrations considerably below 130 meq/litre, elevated urine osmolality, and urine sodium in excess of 120 meq/litre. However, this patient's serum cortisols were undetectable, and his renal function was never clearly described.
At our hospital, Dr. Albert, a nephrologist, states that adrenal function must be clearly delineated before the diagnosis of inappropriate ADH syndrome is made, as adrenocortical crisis might be
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BODACK J. Syndrome of Inappropriate Secretion of Antidiuretic Hormone. Ann Intern Med. 1976;85:829-830. doi: 10.7326/0003-4819-85-6-829_3
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Published: Ann Intern Med. 1976;85(6):829-830.
Endocrine and Metabolism, Fluid and Electrolyte Disorders, Nephrology, Neurology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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