Hyponatremia and polyuria in children with central diabetes insipidus: challenges in diagnosis and management.
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.
Ferry
R J
RJ
Divisions of Endocrinology & Diabetes and Critical Care Medicine, Department of Pediatrics, Mattel Children's Hospital at The University of California, Los Angeles, USA.
Kesavulu
V
V
Kelly
A
A
Levitt Katz
L E
LE
Moshang
T
T
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D020790:Diabetes Insipidus, Neurogenic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000209:etiology; D008297:Male; D011141:Polyuria / Q000209:etiology; D012965:Sodium Chloride / Q000627:therapeutic use; D014667:Vasopressins / Q000009:adverse effects / Q000627:therapeutic use
D014667:Vasopressins; D012965:Sodium Chloride