Document Detail


Severe hypernatremia in newborns due to salting.
MedLine Citation:
PMID:  20016914     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to evaluate the etiology, clinical, and laboratory findings and prognostic features of life-threatening hypernatremic newborns secondary to salting. Ten severely hypernatremic newborns (four females) with a mean age of 6.5 +/- 2.6 days were followed up. Nine of them were full term, and one was preterm. It was noticeable that 60% of them were small for gestational age. In the laboratory investigation, five uremias were detected. It was interesting to find in the etiologic history that 40% of the patients had been salted just after birth. Twenty percent of them had also hyperbilirubinemia and kernicterus, 20% had neonatal convulsion, and 50% had dehydration. Two of the hypernatremic newborns died during the study; the others were followed up. One case had spasticity and developmental disability at the 3rd month, and another one had developmental disability at the 6th month of ages. As a conclusion, although salting of newborns is not so frequent, it could be seen in rural places of our country, and this may be one of the reasons for serious hypernatremia in newborns whose skin integrity have not been formed completely. These cases should be treated carefully.
Authors:
Erdal Peker; Ercan Kirimi; Oguz Tuncer; Abdullah Ceylan
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Publication Detail:
Type:  Journal Article     Date:  2009-12-17
Journal Detail:
Title:  European journal of pediatrics     Volume:  169     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  829-32     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Division of Neonatology, School of Medicine, Yuzuncu Yil University, Van, Turkey. pekererdal@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Dehydration / etiology
Female
Fluid Therapy / methods
Humans
Hypernatremia / diagnosis,  etiology*,  therapy
Infant, Newborn
Infant, Small for Gestational Age*
Kidney Failure, Acute / etiology
Male
Medicine, Traditional / adverse effects*
Prognosis
Prospective Studies
Sodium Chloride / adverse effects*,  therapeutic use
Turkey
Chemical
Reg. No./Substance:
7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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