Spontaneous remission of diabetes insipidus due to CNS sarcoidosis.
Central nervous system (CNS) sarcoidosis is a crucial disease and has a poor prognosis. A 58-year-old woman had acute development of polydipsia and polyuria. Her pituitary MRI demonstrated a swelling of pituitary gland and hypophyseal stalk. She was diagnosed as central diabetes insipidus (CDI) due to CNS sarcoidosis based on the examinations and pituitary MRI findings as well as a result of cutaneous biopsy. Uveitis and bilateral hilar lymphadenopathy were observed mildly throughout. However, CDI and pituitary MRI findings were getting recovered spontaneously without steroid treatment in a couple of months, suggesting an atypical clinical course of CNS sarcoidosis.
Inaba
Hidefumi
H
Department of Aging Medicine and Geriatrics, Shinshu University, Graduate School of Medicine, Matsumoto. dinaba@hsp.md.shinshu-u.ac.jp
Suzuki
Satoru
S
Shigematsu
Satoshi
S
Kobayashi
Satoshi
S
Nishio
Shin-ichi
S
Hashizume
Kiyoshi
K
D050034:Antidiuretic Agents / Q000627:therapeutic use; D002493:Central Nervous System Diseases / Q000150:complications* / Q000175:diagnosis; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D003919:Diabetes Insipidus / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012075:Remission, Spontaneous; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis
D050034:Antidiuretic Agents; D003894:Deamino Arginine Vasopressin