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Syndrome of inappropriate antidiuretic hormone secretion associated with acute myeloid leukemia with multilineage dysplasia

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Abstract

A patient having acute myeloid leukemia (AML) with multilineage dysplasia, developed hyponatremia and showed all symptoms of the syndrome of inappropriate antidiuretic hormone secretion (SIADH) through a mechanism similar to tumor lysis. Retrospective immunohistochemical analysis of blast cells was positive for antidiuretic hormone (ADH) protein. According to us, this is the first case report of SIADH in an AML patient with multilineage dysplasia, showing blast cells immunostained for ADH, which clearly demonstrated that the tumor cells produced ADH.

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References

  1. J.B. Sorensen, M.K. Andersen, H.H. Hansen, Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) in malignant disease. J. Intern. Med. 238, 97–110 (1995)

    Article  CAS  PubMed  Google Scholar 

  2. B.O. Saseed, D. Beaumont, G.H. Handley, J.U. Weaver, Severe hyponatremia: investigation and management in a district general hospital. J. Clin. Pathol. 55, 893–896 (2002)

    Article  Google Scholar 

  3. E.S. Jaffe, N.L. Harris, H. Stein (eds.), World Health Organization Classification of Tumors. Pathology & Genetics, Tumors of Haematopoietic and Lymphoid Tissues (IARC Press, Washington, DC, 2006), pp. 88–89

    Google Scholar 

  4. G.L. Robertson, E.A. Mahr, S. Athar et al., Development and clinical application of a new method for the radioimmunoassay of arginine vasopressin in human plasma. J. Clin. Invest. 52, 2340–2353 (1973)

    Article  CAS  PubMed  Google Scholar 

  5. K. Kamoi, T. Ebe, A. Hasegawa et al., Hyponatremia in small-cell lung cancer. Mechanisms not involving inappropriate ADH secretion. Cancer 60, 1089–1093 (1987)

    Article  CAS  PubMed  Google Scholar 

  6. A.F. List, J.D. Hainsworth, B.W. Davis et al., The syndrome of inappropriate secretion of antidiuretic hormone (SIADH) in small-cell lung cancer. J. Clin. Oncol. 4, 1191–1198 (1986)

    CAS  PubMed  Google Scholar 

  7. R.T. Eagen, L.H. Maurer, R.J. Forcier, M. Tulloh, Small cell carcinoma of the lung: Staging, paraneoplastic syndromes, treatment, and survival. Cancer 33, 527–532 (1974)

    Article  Google Scholar 

  8. J.A. Lockton, N. Thatcher, A retrospective study of 32 patients with small-cell bronchogenic carcinoma and inappropriate secretion of antidiuretic hormone. Clin. Radiat. 37, 527–532 (1986)

    Google Scholar 

  9. R. Watabe, K. Shibata, N. Hirase et al., Angioblastic B-cell lymphoma with hemophagocytic syndrome associated with syndrome of inappropriate secretion of antidiuretic hormone. Ann. Hematol. 79, 581–584 (2000)

    Article  CAS  PubMed  Google Scholar 

  10. M. Ciaudo, L. Chauvenet, J. Audouin et al., Peripheral T-cell lymphoma with hemophagocytic histiocytosis localizedto the bone marrow associated with inappropriate secretion of antidiuretic hormone. Leuk. Lymphoma 19, 511–514 (1995)

    Article  CAS  PubMed  Google Scholar 

  11. F. Demirkan, F. Vural, G.H. Ozsan et al., Hemophagocytic syndrome associated with inappropriate secretion of antidiuretic hormone in lymphoma and acute myeloblastic leukemia: report of two cases. Leuk. Lymphoma 42, 1401–1404 (2001)

    Article  CAS  PubMed  Google Scholar 

  12. P.K. Bondy, E.D. Gilby, Endocrine function in small cell undifferentiated carcinoma of the lung. Cancer 50, 2147–2153 (1982)

    Article  CAS  PubMed  Google Scholar 

  13. M.A. Mir, I.W. Deramore, Hyponatremia syndrome in acute myeloid leukaemia. BMJ 1, 52–55 (1974)

    Article  CAS  PubMed  Google Scholar 

  14. S.B. Kaye, E.J. Ross, Inappropriate antidiuretic hormone (ADH) secretion in association with carcinoma of the bladder. Postgrad. Med. J. 53, 274–277 (1977)

    Article  CAS  PubMed  Google Scholar 

  15. D.F. Hayes, R.M. Lechan, M.R. Posner et al., The syndrome of inappropriate antidiuretic hormone secretion associated with induction chemotherapy for squamous cell carcinoma of the head and neck. J. Surg. Oncol. 32, 150–152 (1986)

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Shoko Nakayama.

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Nakayama, S., Yokote, T., Kobayashi, K. et al. Syndrome of inappropriate antidiuretic hormone secretion associated with acute myeloid leukemia with multilineage dysplasia. Endocr 35, 290–292 (2009). https://doi.org/10.1007/s12020-009-9171-5

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  • DOI: https://doi.org/10.1007/s12020-009-9171-5

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