{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:52:50Z","timestamp":1777499570790,"version":"3.51.4"},"reference-count":12,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T00:00:00Z","timestamp":1632787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T00:00:00Z","timestamp":1632787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nephron"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Background:<\/i><\/b> Chronic hyponatremia has been reported to be associated with low solute intake and low creatinine excretion (reflecting likely sarcopenia). We wanted to study the effect, on the long term, of correction of hyponatremia on solute and creatinine excretion in chronic SIADH. <b><i>Methods:<\/i><\/b> We made a retrospective review of clinical and biochemical data of patients with euvolemic hyponatremia. We analyzed 24-h urine solute and creatinine excretion in volunteers with hyponatremia induced by dDAVP over 4 days, in 12 patients with chronic SIADH (&#x3e;1 month) before and after a few days of SNa correction and in 12 patients (6 women and 6 men) before and after 3 months of SNa correction by a vaptan or urea. <b><i>Results:<\/i><\/b> We confirm a low urine creatinine and solute excretion only in patients with chronic hyponatremia (&#x3e;1 month). Correction of SNa (from 127 \u00b1 2.3 mEq\/L to 139 \u00b1 2.8 mEq\/L) for &#x3e;3 months, in the 12 patients (mean age 58 \u00b1 18), was associated with an increase in 24-h creatinine excretion (from 986 \u00b1 239 to 1,238 \u00b1 220 mg; <i>p<\/i> &#x3c; 0.02) and in patients treated with a vaptan (<i>n<\/i> = 5) solute excretion increased from 656 \u00b1 207 mmol\/24 h to 960 \u00b1 193 mmol\/24 h (<i>p<\/i> &#x3c; 0.02). Sodium excretion increased also in the 12 patients (from 100 \u00b1 53 mEq\/24 h to 169 \u00b1 38 mEq\/24 h; <i>p<\/i> &#x3c; 0.01). <b><i>Conclusion:<\/i><\/b> Chronic hyponatremia (&#x3e;1 month) is associated with a decrease in solute output (or intake) and in creatinine excretion. In many patients, these abnormalities are reversible in the long term. <\/jats:p>","DOI":"10.1159\/000519049","type":"journal-article","created":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T21:01:39Z","timestamp":1632862899000},"page":"40-44","source":"Crossref","is-referenced-by-count":2,"title":["Low Creatininuria due to Hyponatremia Is Reversible in Many Patients"],"prefix":"10.1159","volume":"146","author":[{"given":"Guy","family":"Decaux","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2021,9,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.11138\/ccmbm\/2014.11.3.177"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.5414\/CN108453"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glw114"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S1726-4901(09)70188-1"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-49054-8"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/63.2.151"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V75805"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1067\/mlc.2001.116025"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2000.17623"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.09.026"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2017.02.008"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcn061"}],"container-title":["Nephron"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/519049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/519049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:21:54Z","timestamp":1745421714000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000519049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,28]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1,13]]},"published-print":{"date-parts":[[2022,1,18]]}},"URL":"https:\/\/doi.org\/10.1159\/000519049","archive":["Portico"],"relation":{},"ISSN":["1660-8151","2235-3186"],"issn-type":[{"value":"1660-8151","type":"print"},{"value":"2235-3186","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,28]]}}}