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| ----------
| | From: J ZLOTNIK <[log in to unmask]>
| | To: [log in to unmask]
| | Subject: Re:
| | Date: יום שני 23 אוגוסט 1999 17:43
| |
| | Have you considered the possibility of COLCHICINE poisening in this
| | patient.
| | In the abstract of Bismuth et al Nouv Presse med 1977 may 7 (6) 19
| :1625-29
| | There was dilution hyponatremia in some cases and secondary alopecia in
| all
| | cases.
| | I think that Vincristine poisening may do the same.
| |
| | JOSEPH ZLOTNIK
| | The Institute of Chemical Pathology,
| | The Chaim Sheba medical Centre,
| | Tel Hashomer 52621 Israel.
| | [log in to unmask]
| | ----------
| | | From: tox.rbh <[log in to unmask]>
| | | To: [log in to unmask]
| | | Subject:
| | | Date: יום שני 23 אוגוסט 1999 15:21
| | |
| | | A 58 year old lady was admitted to one of our medical wards via her
GP
| | | after several days D & V. On admission her results were as follows:
| | | Sodium 101mmol/L
| | | Potassium 1.9mmol/L
| | | Urea 2.4mmol/L
| | | Creatinine 38µmol/L
| | | Albumin 29g/L
| | | Glucose 6.2mmol/L
| | |
| | | One month before her GP had run similar tests and all were normal, he
| was
| | | monitoring diuretic use.
| | | A urine drug screen showed some benzodiazepine metabolites.
| | |
| | | She was treated with hypertonic saline and potassium and within two
to
| | | three days her electrolytes returned to more or less normal. Over her
| | | period in the ward her hair fell out. She died four weeks later. The
| | | medical team who looked after her are still looking for a reason for
| her
| | | presenting electrolyte results and have some suspicion of her
husband,
| | who
| | | appeared to show an unhealthy interest in her pathology rather than
her
| | | well being.
| | |
| | | Any one have any ideas?
| | |
| | | Thanks
| | | Paul Robinson
| | | Royal Berkshire Hospital
| | | Reading
| | |
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