■摩尔妊娠与甲状腺功能亢进和高血压疾病有关。磨牙和胎儿妊娠并存,非常罕见,有更高的并发症风险。
■我们描述了一例由于与磨牙妊娠相关的抗利尿激素分泌不当综合征(SIADH)引起的低钠血症。一名36岁的患者在妊娠13周时患有共存的磨牙妊娠,并伴有头痛,恶心,和呕吐。她被发现患有高血压,甲状腺功能亢进,还有低钠血症.用等渗盐水攻击进一步评估低钠血症,从而诊断为SIADH。患者接受了扩张和刮治,低钠血症得以解决。她后来发展为妊娠滋养细胞瘤。
■磨牙妊娠可出现不寻常的相关病症,比如SIADH。磨牙妊娠患者的低钠血症可能错误地归因于滋养细胞组织的其他副作用(甲状腺功能亢进,先兆子痫,或妊娠剧吐)。磨牙妊娠患者的低钠血症值得评估SIADH。
UNASSIGNED: Molar pregnancies have been associated with hyperthyroidism and hypertensive disorders. Coexisting molar and fetal pregnancies, which are very rare, have an even higher risk of complications.
UNASSIGNED: We describe a
case of hyponatremia due to syndrome of inappropriate antidiuretic hormone secretion (SIADH) associated with a molar pregnancy. A 36-year-old patient at 13 weeks gestation with a coexisting molar pregnancy presented with headache, nausea, and vomiting. She was found to have hypertension, hyperthyroidism, and hyponatremia. The hyponatremia was further assessed with an isotonic saline challenge which resulted in a diagnosis of SIADH. The patient underwent dilation and curettage and her hyponatremia resolved. She later developed gestational trophoblastic neoplasia.
UNASSIGNED: A molar pregnancy can present with unusual associated conditions, such as SIADH. Hyponatremia in a patient with molar pregnancy may be mistakenly attributed to other side effects of trophoblastic tissue (hyperthyroidism, pre-eclampsia, or hyperemesis gravidarum). Hyponatremia in a patient with a molar pregnancy warrants evaluation for SIADH.