id author title date pages extension mime words sentences flesch summary cache txt cord-316588-8els3rzj Habib, Mhd Baraa Acute symptomatic hyponatremia in setting of SIADH as an isolated presentation of COVID-19 2020-06-01 .txt text/plain 1483 90 51 Several infectious causes of SIADH have been reported; however, hyponatremia associated with SIADH and Coronavirus disease 2019 (COVID-19) was only recently mentioned in a few case reports. We discuss a unique presentation of COVID-19, in which the patient presented with acute severe symptomatic hyponatremia thought to be the initial and isolated presentation of SARS-CoV-2 infection. The syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is characterized by euvolemic hyponatremia, low plasma osmolality, high urinary osmolality, elevated natriuresis, hypouricemia, and lack of evidence of other hyponatremic diseases. The most common symptoms associated with COVID-19 infection are fever, congested nose, and cough; and may also cause severe pneumonia [4] . A case series of COVID-19 pneumonia associated with syndrome of inappropriate antidiuretic hormone secretion (SIADH) published recently described patients who presented with respiratory symptoms, were diagnosed with COVID-19, and found to have SIADH [8] . ./cache/cord-316588-8els3rzj.txt ./txt/cord-316588-8els3rzj.txt