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Previous Volume 343:817-818 September 14, 2000 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the review article on hypernatremia by Adrogué and Madias (May 18 issue),¹ we wonder whether the patient described as having a pure water loss does not in fact have a sodium gain as well. Our reasoning is that if a 20 percent increase in the plasma sodium concentration is due to a pure water deficit, then there should be a corresponding 20 percent reduction in the total body water distributed equally among the intracellular-fluid and the extracellular-fluid compartments. A decline in the extracellular fluid of this degree should have been clinically apparent, identifiable at least by . . . [Full Text of this Article]

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