Hyponatremia and polyuria in children with central diabetes insipidus: Challenges in diagnosis and management

被引:7
作者
Ferry, RJ
Kesavulu, V
Kelly, A
Katz, LEL
Moshang, T
机构
[1] Childrens Hosp Philadelphia, Dept Pediat, Div Endocrinol, Philadelphia, PA 19104 USA
[2] Univ Calif Los Angeles, Mattel Childrens Hosp, Dept Pediat, Div Crit Care Care Med, Los Angeles, CA USA
[3] Univ Calif Los Angeles, Mattel Childrens Hosp, Dept Pediat, Div Endocrinol & Diabet, Los Angeles, CA USA
关键词
D O I
10.1067/mpd.2001.112651
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Five patients with well-controlled, long-standing central diabetes insipidus had acute development of dehydration, hyponatremia, and inappropriate natriuresis in the setting of polyuria resistant to exogenous antidiuretic hormone. Hyponatremia and dehydration worsened with fluid restriction or use of exogenous antidiuretic hormone. We discuss the challenges in diagnosis and management of probable salt wasting in children with central diabetes insipidus.
引用
收藏
页码:744 / 747
页数:4
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