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Are there circumstances in which you would check a serum copeptin level when evaluating patients for possible SIADH?

1 Answer
Mednet MemberInvited Expert
Nephrology · University of California, Los Angeles
Answered on

I would check a serum copeptin level in a patient suspected of having nephrogenic syndrome of inappropriate antidiuresis (nephrogenic SIAD). Since the vasopressin 2 receptor is constitutively activated, these patients present with hyponatremia, low serum osmolality, high urinary sodium, and elevated urine osmolality despite undetectable serum copeptin level.

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