@article{ref1,
title="Extreme hypernatremia as a presenting sign of child abuse and psychosocial dwarfism",
journal="Johns Hopkins medical journal",
year="1981",
author="Chesney, R. W. and Brusilow, S.",
volume="148",
number="1",
pages="11-13",
abstract="A 21-month-old girl presented with seizures and a serum sodium concentration of 206 meq/l. She had many of the features of psychosocial dwarfism, including short stature, bizarre eating and drinking habits, absent growth hormone response to arginine and insulin infusion and a rapid weight gain during her hospitalization. During the initial rehydration, the patient's weight gain was only 2 percent of her body weight. This finding probably indicates that her hypernatremia was chronic, did not represent acute dehydration and may well have derived from willful denial of water, although a chronic salt load could not be ruled out. This report further emphasizes that extreme hypernatremia may be the presenting feature of child abuse.<p /><p>Language: en</p>",
language="en",
issn="0021-7263",
doi="",
url="http://dx.doi.org/"
}