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  • Title: Beer potomania: an unusual cause of symptomatic hyponatremia.
    Author: Joyce SM, Potter R.
    Journal: Ann Emerg Med; 1986 Jun; 15(6):745-7. PubMed ID: 3706870.
    Abstract:
    A 43-year-old woman presented to the emergency department with acute agitation, confusion, and tonic seizures. She had a history of drug abuse, most notably beer, which constituted her major dietary intake. The patient's seizures were at first thought to be factitious in association with an acute psychosis; however, her serum sodium concentration was 110 mEq/L and urine sodium was 14 mEq/L. The patient responded to IV hypertonic saline and subsequently recovered completely. Beer potomania, the most likely etiology for this patient's hyponatremia, is a rare disorder in which dietary sodium and protein insufficiency lead to dilutional hyponatremia.
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