Yu Zhuo Lin, Fisher Lisa
Stony Brook University Hospital, 101 Nicolls Rd, Stony Brook, NY 11794, USA.
Northport VA Medical Center, 79 Middleville Rd, Northport, NY 11768, USA.
Case Rep Nephrol. 2022 Apr 22;2022:8778304. doi: 10.1155/2022/8778304. eCollection 2022.
Beer potomania is one of the less common causes of hyponatremia that we encounter. Patients usually have a recent history of binge drinking along with poor diet. The low solute content in alcoholic beverages limits daily urine output, and ingestion of extra fluid will cause dilutional hyponatremia as a result. Blindly providing intravenous fluid without an underlying cause of the hyponatremia can be detrimental, such as in patients with beer potomania. In our case, a patient presented to the emergency department due to poor oral intake from jaw pain and was found to be hyponatremic from alcohol intake. He initially received 2 liters of fluid, which caused overcorrection of his sodium, requiring more free water to lower his sodium as a result.
啤酒狂饮综合征是我们遇到的低钠血症相对少见的病因之一。患者通常近期有暴饮史且饮食不佳。酒精饮料中溶质含量低限制了每日尿量，额外摄入液体就会导致稀释性低钠血症。在低钠血症无根本病因的情况下盲目给予静脉输液可能有害，比如啤酒狂饮综合征患者。在我们的病例中，一名患者因颌部疼痛导致经口摄入不足而就诊于急诊科，发现其因饮酒导致低钠血症。他最初接受了2升液体，结果导致其钠水平过度纠正，进而需要更多游离水来降低其钠水平。
