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

详细信息    查看全文

• 作者：Robert J. Ferry Jr ; Vatsala Kesavulu ; Andrea Kelly ; Lorraine E. Levitt Katz ; Thomas Moshang Jr
• 刊名：The Journal of Pediatrics
• 出版年：2001
• 出版时间：May 2001
• 年：2001
• 卷：138
• 期：5
• 页码：744-747
• 全文大小：85 K

文摘

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. (J Pediatr 2001;138:744-7)