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10.1111/tid.13355

http://scihub22266oqcxt.onion/10.1111/tid.13355
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32510756!ä!32510756

suck abstract from ncbi


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pmid32510756      Transpl+Infect+Dis 2020 ; 22 (6): e13355
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  • Hyponatremia: A possible immuno-neuroendocrine interface with COVID-19 in a kidney transplant recipient #MMPMID32510756
  • Tantisattamo E; Reddy UG; Duong DK; Ferrey AJ; Ichii H; Dafoe DC; Kalantar-Zadeh K
  • Transpl Infect Dis 2020[Dec]; 22 (6): e13355 PMID32510756show ga
  • There is fast-emerging, cumulative clinical data on coronavirus disease 2019 (COVID-19) in kidney transplant recipients. Although respiratory tract symptoms are often the initial presentation among kidney transplant recipients who contract COVID-19, other clinical features which may indicate underlying SARS-CoV-2-related inflammation, such as gastrointestinal symptoms, are not uncommon. Hyponatremia can develop and may reflect underlying inflammation. Interferon-6 is an important pro-inflammatory cytokine involved in the pathogenesis of severe COVID-19 complications and may play a role in the inappropriately higher secretion of antidiuretic hormone leading to hyponatremia. This pathway is the so-called immuno-neuroendocrine interface. Hyponatremia in COVID-19 has been reported in a few case series of non-kidney transplant patients and only one reported kidney transplant recipient. However, the clinical course and prognostic value of hyponatremia in this population are not described in detail. We report a kidney transplant recipient who was infected with COVID-19 and exhibited severe hyponatremia secondary to the syndrome of inappropriate antidiuretic hormone secretion. Hyponatremia is one of the clinical presentations of COVID-19, although less common, and may occur more frequently in kidney transplant recipients. Thus, the possible underlying immuno-neuroendocrine relationship related to the inflammatory process of COVID-19 leading to hyponatremia and its prognostic value are reviewed.
  • |*Kidney Transplantation[MESH]
  • |COVID-19/*immunology/metabolism[MESH]
  • |Female[MESH]
  • |Graft Rejection/prevention & control[MESH]
  • |Humans[MESH]
  • |Hyponatremia/*immunology/metabolism[MESH]
  • |Immunosuppressive Agents/*therapeutic use[MESH]
  • |Inappropriate ADH Syndrome/*immunology/metabolism[MESH]
  • |Middle Aged[MESH]
  • |Neuroimmunomodulation/immunology[MESH]
  • |Neurosecretory Systems/immunology[MESH]


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