title: [A decrease in plasma sodium ion during the course of an acute attack of porphyria].
abstract: Sodium ion level disorders were analysed in 53 patients with porphyria during 84 acute attacks of the disease. Thirty two daily water-electrolyte balances in 6 patients treated at ICU were analysed in detail. A decrease in sodium ion levels in patients with porphyria is rather rare and most frequently transient during the acute attack of the disease. Noted disorders were not characteristic for the reported syndrome of the abnormal antidiuretic hormone release. The treatment of the acute attack of porphyria requires the achievement of the positive energy balance which leads to the normalization of sodium ion levels despite intensive hydratation of some patients.
authors.forename: K
authors.initials: K
authors.lastname: Zienkiewicz
authors.forename: E
authors.initials: E
authors.lastname: Kostrzewska
authors.forename: A
authors.initials: A
authors.lastname: Gregor
authors.forename: J
authors.initials: J
authors.lastname: Osiński
mesh_terms: D000208:Acute Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011164:Porphyrias / Q000097:blood* / Q000628:therapy; D012871:Skin Diseases / Q000097:blood*; D012964:Sodium / Q000097:blood*; D014882:Water-Electrolyte Balance / Q000502:physiology
chemical_list: D012964:Sodium
vernacular_title: Zmniejszenie stezenia jonu sodowego w osoczu w przebiegu ostrego napadu porfirii.