PMID- 18797371 OWN - NLM STAT- MEDLINE DCOM- 20090224 LR - 20131121 IS - 1535-1815 (Electronic) IS - 0749-5161 (Linking) VI - 24 IP - 9 DP - 2008 Sep TI - Ecstasy (3,4-methylenedioxymethamphetamine)-induced inappropriate antidiuretic hormone secretion. PG - 615-7 LID - 10.1097/PEC.0b013e3181850c91 [doi] AB - 3,4-Methylenedioxymethamphetamine (MDMA), popularly known as the illicit drug "Ecstasy," is an amphetamine derivative that has become widely abused throughout the United States and other industrialized nations. 3,4-Methylenedioxymethamphetamine has an undeserved reputation as a "safe" drug among its users, but MDMA shares the toxicity profile of other amphetamines. Its use may result in lethal cardiovascular, hepatic, metabolic, or neurological toxicity. The syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a unique toxicity that may occur after isolated MDMA use. Although the phenomenon is well described in adults, reports of MDMA-induced SIADH and symptomatic hyponatremia in children are rare. We describe a 13-year-old girl who experienced MDMA-induced SIADH with symptomatic hyponatremia. Toxicity of MDMA, in particular, the pathophysiology and treatment of MDMA-induced hyponatremia, is discussed. FAU - Farah, Raymond AU - Farah R AD - Department of Internal Medicine F, Leumit Health Service, Western Galilee, Nahariya, Israel. Raymond.Farah@naharia.health.gov.il FAU - Farah, Rola AU - Farah R LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Pediatr Emerg Care JT - Pediatric emergency care JID - 8507560 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adolescent MH - Female MH - Hallucinogens/*toxicity MH - Humans MH - Inappropriate ADH Syndrome/*chemically induced MH - N-Methyl-3,4-methylenedioxyamphetamine/*toxicity EDAT- 2008/09/18 09:00 MHDA- 2009/02/25 09:00 CRDT- 2008/09/18 09:00 PHST- 2008/09/18 09:00 [pubmed] PHST- 2009/02/25 09:00 [medline] PHST- 2008/09/18 09:00 [entrez] AID - 00006565-200809000-00006 [pii] AID - 10.1097/PEC.0b013e3181850c91 [doi] PST - ppublish SO - Pediatr Emerg Care. 2008 Sep;24(9):615-7. doi: 10.1097/PEC.0b013e3181850c91.