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- W2364240009 abstract "Received June 8, 2010 Revised June 23, 2010 Accepted June 23, 2010 *Seung Hyun Kim, MD Department of Neurology, Hanyang University College of Medicine, 17 Haengdang-dong, Seongdong-gu, Seoul 133-791, Korea Tel: +82-2-2290-8370 Fax: +82-2-2299-2391 E-mail: kimsh1@hanyang.ac.kr 길랭-바레증후군은 급성 면역매개성 질환으로 고용량의 면역글로불린 정맥내(intravenous immunoglobulin, IVIg) 치료가 인공호흡기 사용 기간을 줄여주고, 후유증을 감소시키 며 사망률을 낮추는 효과적인 치료로 알려져 있다. IVIg의 부 작용으로는 두통, 오한, 오심, 구토 그리고 근육통 등의 독감 유사 증후군이 발생할 수 있다. 그리고 드물게 급성 신부전, 혈전색전성 질환(thromboembolic disease), 무균성 뇌수막 염, 발진, 소양증과 같은 피부 부작용, 그리고 거짓저나트륨혈증 (pseudohyponatremia) 등이 보고되었다. IVIg치료와 관련하여 발생하는 저나트륨혈증은 항이뇨호르몬부적절증후군(syndrome of inappropriate antidiuretic hormone, SIADH)에 의하거나 당에 의한(sucrose-induced) 물의 세포외구획(extracellular compartment)에서 세포내구획(intracellular compartment) 으로의 이동에 의하여 발생하는 경우도 있기 때문에 거짓저나 트륨혈증과 구분하여야 한다. 저자들은 길랭-바레증후군 환자에서 IVIg 치료 후 거짓저 나트륨혈증이 발생한 환자를 경험하였기에 이를 보고하고자 한다." @default.
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- W2364240009 date "2010-01-01" @default.
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- W2364240009 title "Pseudohyponatremia After Intravenous Immunoglobulin Therapy in a Patient With Guillain-Barré Syndrome" @default.
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