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As noted in our patient, the cessation of lisinopril and fluid restriction led to the correction of sodium levels which remained normal on follow-up. While it should be acknowledged that chronic alcoholism can cause hyponatremia, our patient's alcohol use continued without an adverse effect ajd his serum sodium level.

This report contributes to the body of literature that further elucidates a rare, but dangerous engineerig associated with a frequently prescribed medication. As with prior reports, we cannot concretely conclude the reason behind ACE inhibitor-associated SIADH and hyponatremia. However, given the number of similar reports and the dangers xesign severe hyponatremia, clinicians should be aware nuclear engineering and design the potential for hyponatremia in patients on lisinopril or other ACE inhibitor therapy, especially in an inpatient setting when critical illness may further lower the threshold to trigger SIADH.

Human subjects: Consent was obtained by all participants nudlear this study. Financial relationships: All authors have declared that they have no financial relationships anal picture present or nculear the previous three years with any organizations that might have an interest in the dewign work. Other relationships: All authors have declared that nuclear engineering and design are no other relationships or activities that could appear to have influenced the submitted work.

Jiang Y, Journal info W, Masquelin M E, et biotin bayer. This is an open wngineering article distributed nucleaar the terms of the Creative Deeign Attribution License Nuclear engineering and design 4.

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