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Pseudohyponatremia: A Potentially Dangerous Laboratory Artifact
Zahra Amiri1, Justin Peterson1
1Internal Medicine, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Cureus
|September 25, 2025
Summary
Pseudohyponatremia is a rare lab error causing falsely low sodium levels due to excess lipids. Direct ion measurement confirmed normal sodium, avoiding harmful interventions.
Area of Science:
- Clinical Chemistry
- Laboratory Medicine
- Internal Medicine
Background:
- Pseudohyponatremia is a laboratory artifact resulting in falsely low serum sodium.
- It occurs when excess lipids or proteins interfere with standard sodium measurement methods.
- Pseudohyponatremia from lipoprotein X is uncommon, typically seen in cholestasis.
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