Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Triggered by Heat Stroke: A Case Report

We present the first documented case of the syndrome of inappropriate antidiuretic hormone secretion (SIADH) triggered by heat stroke in a man in his mid-50s with no medical history. After experiencing acute symptoms during a heatwave, he was hospitalized. The absence of dehydration and the presence of hyponatremia, along with other laboratory findings, fulfilled the diagnostic criteria for SIADH once other causes were excluded. The linkage between heat stroke and SIADH is thought to involve neuroinflammation and oxidative stress in the hypothalamus, which impacts antidiuretic hormone (ADH) production and secretion. This case highlights critical considerations for emergency and post-acute care in heat-related illnesses, emphasizing the need for vigilant monitoring of SIADH symptoms in patients experiencing heat stroke.

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Journal
Cureus
Published
2025-06-03
DOI
https://doi.org/10.7759/cureus.85304
Primary Topic
Electrolyte and hormonal disorders
Type
article
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article

Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Triggered by Heat Stroke: A Case Report

Kenko Aoki, Kenji Dohi, Keisuke Suzuki, Takuya Shimada et al.
Cureus
Electrolyte and hormonal disorders
article

Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Triggered by Heat Stroke: A Case Report

Kenko Aoki, Kenji Dohi, Keisuke Suzuki, Takuya Shimada, Rei Ogawa
article en

Abstract

We present the first documented case of the syndrome of inappropriate antidiuretic hormone secretion (SIADH) triggered by heat stroke in a man in his mid-50s with no medical history. After experiencing acute symptoms during a heatwave, he was hospitalized. The absence of dehydration and the presence of hyponatremia, along with other laboratory findings, fulfilled the diagnostic criteria for SIADH once other causes were excluded. The linkage between heat stroke and SIADH is thought to involve neuroinflammation and oxidative stress in the hypothalamus, which impacts antidiuretic hormone (ADH) production and secretion. This case highlights critical considerations for emergency and post-acute care in heat-related illnesses, emphasizing the need for vigilant monitoring of SIADH symptoms in patients experiencing heat stroke.

CureusVol. 17(6)
SHOWA Medical University (JP), Nippon Medical School Hospital (JP), Nippon Medical School (JP)
Good health and well-being
Openalex Percentile: Top 79%
Electrolyte and hormonal disorders
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Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Triggered by Heat Stroke: A Case Report — Kenko Aoki, Kenji Dohi, et al. · Cureus (2025) | TGRS Research Map | TGRS