• Clin Med · Feb 2010

    Case Reports

    With a pinch of salt.

    • Kalyan Kumar Gangopadhyay, R Gupta, V Baskar, N Gautam, and A A Toogood.
    • University Hospital Birmingham NHS Foundation Trust. jaykal69@hotmail.com
    • Clin Med. 2010 Feb 1; 10 (1): 868786-7.

    AbstractThis report highlights a case of severe hyponatraemia secondary to excessive sweating and salt [corrected] poor fluid consumption and low salt diet in hot conditions. The case was complicated by the presence of marked hypokalaemia caused by secondary hyperaldosteronism confirmed, for the first time, by the presence of grossly elevated serum renin and aldosterone concentrations. With the rise in global temperature affecting even temperate climates doctors, especially in acute and general medicine, may be faced with this condition more often.

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