Coakley J C, Vervaart P P, McKay M R
Pathology. 1986 Jan;18(1):158-9. doi: 10.3109/00313028609090846.
We report a case of factitious hyponatremia in a boy who had received a bone marrow transplant for acute myeloid leukemia. Following transplantation, he developed graft-versus-host disease and obstructive jaundice. The pseudohyponatremia was found to be due to hyperlipidemia, but there were some unusual features. The patient's plasma triglyceride concentration was not significantly raised, but he had an extremely elevated cholesterol concentration, probably due to the presence of lipoprotein-X. His plasma, when first separated at room temperature, was icteric and relatively clear but developed a dense turbidity on being frozen at -20 degrees C.
我们报告了一例因急性髓系白血病接受骨髓移植的男孩出现假性低钠血症的病例。移植后，他发生了移植物抗宿主病和梗阻性黄疸。发现假性低钠血症是由高脂血症引起的，但存在一些不寻常的特征。患者的血浆甘油三酯浓度没有显著升高，但胆固醇浓度极高，可能是由于脂蛋白-X的存在。他的血浆在室温下首次分离时呈黄疸色且相对清澈，但在-20℃冷冻后出现了浓密的浑浊。
