Document Detail


Syndrome of inappropriate antidiuresis may herald or accompany neuromyelitis optica.
MedLine Citation:
PMID:  21998320     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aquaporin-4 (AQP4) is the target autoantigen of an immunoglobulin G (IgG) autoantibody that distinguishes a spectrum of inflammatory demyelinating CNS disorders (the neuromyelitis optica [NMO] spectrum) from multiple sclerosis (MS) and other CNS demyelinating disorders.(1) Compelling evidence supports this IgG having a central role in the pathogenesis of NMO. AQP4 is concentrated in astrocytic foot processes at interfaces between CNS parenchyma and fluid compartments, both CSF and blood,(1) and in areas involved in osmosensitivity and osmoregulation, including supraoptic and paraventricular nuclei of the hypothalamus and sensory circumventricular organs, the subfornical organ, the organum vasculosum of the lamina terminalis, and the area postrema.(2) A single case of the syndrome of inappropriate antidiuresis (SIAD) has been described in NMO.(3) Here we report the frequency of SIAD in NMO.
Authors:
R Iorio; C F Lucchinetti; V A Lennon; C Costanzi; S Hinson; B G Weinshenker; S J Pittock
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-12
Journal Detail:
Title:  Neurology     Volume:  -     ISSN:  1526-632X     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Departments of Laboratory Medicine and Pathology (R.I., V.A.L., S.H., S.J.P.), Neurology (R.I., C.F.L., V.A.L., C.C., B.G.W., S.J.P.), and Immunology (V.A.L.), Mayo Clinic College of Medicine, Rochester, MN.
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