title: With a pinch of salt.
abstract: This 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.
authors.affiliation: University Hospital Birmingham NHS Foundation Trust. jaykal69@hotmail.com
authors.forename: Kalyan Kumar
authors.initials: KK
authors.lastname: Gangopadhyay
authors.forename: R
authors.initials: R
authors.lastname: Gupta
authors.forename: V
authors.initials: V
authors.lastname: Baskar
authors.forename: N
authors.initials: N
authors.lastname: Gautam
authors.forename: A A
authors.initials: AA
authors.lastname: Toogood
mesh_terms: D003681:Dehydration / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D004039:Diet, Sodium-Restricted / Q000009:adverse effects; D006358:Hot Temperature / Q000009:adverse effects; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D007008:Hypokalemia / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D007010:Hyponatremia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008297:Male; D055815:Young Adult
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