Manifestation of Central Diabetes Insipidus in a Patient with Thyroid Storm

被引：2

作者：

Nakamichi, Akiko ^{[1
]}

Ocho, Kazuki ^{[1
]}

Oka, Kosuke ^{[1
]}

Yasuda, Miho ^{[1
]}

Hasegawa, Kou ^{[1
]}

Iwamuro, Masaya ^{[1
]}

Obika, Mikako ^{[1
]}

Rai, Kammei ^{[1
]}

Otsuka, Fumio ^{[1
]}

机构：

[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gen Med, Okayama, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 13期

关键词：

central diabetes insipidus; Graves' disease; hyperthyroidism; lymphocytic infundibulo-neurohypophysitis and thyroid crisis; LYMPHOCYTIC INFUNDIBULO-NEUROHYPOPHYSITIS; INFUNDIBULONEUROHYPOPHYSITIS; FEATURES; DISEASE;

D O I：

10.2169/internalmedicine.0063-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a case of central diabetes insipidus complicated with thyroid storm. A middle-aged woman who was receiving treatment for Graves' disease suddenly complained of polydipsia, polyuria and general fatigue. Laboratory tests showed hyperthyroidism, hypernatremia, hypoosmolar urine and a decreased plasma vasopressin level. The occurrence of central diabetes insipidus with hyperthyroidism was revealed on the basis of pituitary magnetic resonance imaging, a water deprivation test and a desmopressin test. The clinical co-existence of diabetes insipidus and hyperthyroidism is very rare; however, the complication should be considered when hypernatremia and/or dehydration progress in patients with Graves's disease as a common autoimmune-related etiology.

引用

页码：1939 / 1942

页数：4

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