title: Hyponatremia and seizures caused by triamcinolone-induced adrenal insufficiency.
abstract: BACKGROUND
  A 49-year-old woman presented to hospital with an 18-month history of hyponatremic episodes, nausea, vomiting, anorexia and fatigue.
  
  
  METHODS
  Physical examination, laboratory tests including full blood count, measurement of electrolytes, hormones, autoantibodies, thyroid and renal function, corticotropin-releasing-hormone stimulation test, 24 h urinalysis and abdominal ultrasonography.
  
  
  METHODS
  Severe symptomatic hyponatremia in a patient with secondary adrenal insufficiency caused by treatment of lumbago with triamcinolone injections.
  
  
  RESULTS
  Hydrocortisone replacement therapy (15 mg daily) for 3 months, followed by a tapering schedule over 12-24 months.
authors.affiliation: University of Münster, Medizinische Klinik und Poliklinik D, Albert-Schweitzer Strasse 33, 48149 Münster, Germany. sreuter@uni-muenster.de
authors.forename: Stefan
authors.initials: S
authors.lastname: Reuter
authors.forename: Niklas
authors.initials: N
authors.lastname: Scholten
authors.forename: Hermann
authors.initials: H
authors.lastname: Pavenstädt
authors.forename: Uta
authors.initials: U
authors.lastname: Hillebrand
authors.forename: Eckhart
authors.initials: E
authors.lastname: Büssemaker
mesh_terms: D000309:Adrenal Insufficiency / Q000139:chemically induced* / Q000150:complications*; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000209:etiology*; D008875:Middle Aged; D012640:Seizures / Q000209:etiology*; D014221:Triamcinolone / Q000009:adverse effects*
chemical_list: D014221:Triamcinolone