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Secreción ectópica de hormona antidiurética - Treatment

Nombres alternativos

Síndrome de secreción inadecuada de hormona antidiurética (SIHAD); Síndrome de secreción inadecuada de vasopresina

Tratamiento:

El tratamiento está encaminado a eliminar la causa del problema (por ejemplo, cirugía para extirpar un tumor productor de HAD).

La restricción en la ingesta de líquidos es otro tratamiento común que ayuda a evitar que el exceso de agua se acumule en el cuerpo.

A los pacientes hospitalizados con HAD ectópica que no responde a otros tratamientos se les puede suministrar tolvaptán por la boca (vía oral) y conivaptán a través de una vena (vía intravenosa). Estos tratamientos bloquean los efectos de la HAD.

  • Reviewed last on: 11/23/2009
  • Ari S. Eckman, MD, Division of Endocrinology and Metabolism, Johns Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Lin M, Liu SJ, Lim IT. Disorders of water imbalance. Emerg Med Clin North Am. 2005;23(3):749-770.

Gagel RF. Endocrine manifestations of tumors: "ectopic" hormone production. In: Goldman L, Ausiello D, eds. Cecil Medicine. Philadelphia, PA: Saunders; 2007:chap 188.

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