2004, Número 3
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Rev Fac Med UNAM 2004; 47 (3)
Cáncer pulmonar (2ª parte)
Sánchez ES, Franco TR, Flores ALJ, Zepeda MA
Idioma: Español
Referencias bibliográficas: 78
Paginas: 106-114
Archivo PDF: 56.41 Kb.
FRAGMENTO
Síndrome de secreción inapropiada de hormona antidiurética (SIHAD)
El hallazgo más frecuente en los pacientes con CAP es la hiponatremia, éste es un signo común del carcinoma de células pequeñas, el cual es una causa de secreción ectópica de hormona antidiurética (HAD). Aproximadamente del 7 al 10% de las personas con carcinoma pulmonar de células pequeñas desarrollan SIHAD.50 Los hallazgos clínicos incluyen: alteraciones mentales, confusión, letargia y convulsiones. Más del 50% de los carcinomas de células pequeñas presentan niveles elevados de HAD, pero menos del 10% muestran la enfermedad aparente, a pesar de que la hiponatremia sea severa, sólo unos cuantos pacientes son sintomáticos en el momento del diagnóstico.40
En algunos pacientes también se produce ectópicamente el péptido auricular natriurético, lo cual contribuye al desarrollo de hiponatremia y su sintomatología.50-53
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