Severe metabolic alkalosis and recurrent acute on chronic kidney injury in a patient with Crohn's disease.

Background: Diarrhea is common in patients with Crohn's disease and may be accompanied by acid base disorders, most commonly metabolic acidosis due to intestinal loss of bicarbonate.

Case Presentation: Here, we present a case of severe metabolic alkalosis in a young patient suffering from M. Crohn.

An unusual case of hyponatraemia.

The differential diagnosis of hyponatraemia is manifold and includes hormonal disorders such as primary adrenal insufficiency or hypothyroidism. The diagnosis of adrenal insufficiency is always suggestive in cases of hypotension associated with hyponatraemia, hyperkalaemia and metabolic acidosis. We herein report a case of severe hyponatraemia in a patient with Addison's disease.