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Minerva Pediatrics 2021 Apr 02

DOI: 10.23736/S2724-5276.21.05856-4

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Severe hyponatremia in children: a review of the literature through instructive cases

Michele MAZZOLAI 1 , Andrea APICELLA 2, Pierluigi MARZUILLO 3, Ingrid RABACH 4, Andrea TADDIO 1, 4, Egidio BARBI 1, 4, Giorgio COZZI 1

1 Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy; 2 AORN Santobono-Pausillipon, Naples, Italy; 3 Department of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy; 4 Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy


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Hyponatriemia is the most common electrolyte disorder in the paediatric population. Symptoms are related to the time in which hyponatriemia has developed. The acute presentation could be dramatic, with neurological symptoms like headache, seizure, impaired mental status and even coma. It is essential for the physician to be aware of the possible causes of hyponatremia in the child in order to start a prompt treatment.


KEY WORDS: Hyponatriemia; Children; SIADH; Water intoxication; Adrenal insufficiency

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