title: Maternal rhabdomyolysis and twin fetal death associated with gestational diabetes insipidus.
abstract: BACKGROUND
  Gestational diabetes insipidus is a rare, transient complication of pregnancy typically characterized by polyuria and polydipsia that may lead to mild electrolyte abnormalities. More severe sequelae of gestational diabetes insipidus are uncommon.
  
  
  METHODS
  We present a case of a 25-year-old woman at 23 weeks of gestation in a dichorionic-diamniotic twin pregnancy who developed severe symptomatic gestational diabetes insipidus complicated by rhabdomyolysis and death of both fetuses.
  
  
  CONCLUSIONS
  Maternal rhabdomyolysis caused by gestational diabetes insipidus is extremely rare. Early recognition and treatment of gestational diabetes insipidus is necessary to prevent maternal and fetal morbidity and mortality.
authors.affiliation: Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
authors.forename: Joan T
authors.initials: JT
authors.lastname: Price
authors.forename: Nadav
authors.initials: N
authors.lastname: Schwartz
mesh_terms: D000328:Adult; D050034:Antidiuretic Agents / Q000627:therapeutic use; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D003919:Diabetes Insipidus / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D006801:Humans; D006955:Hypernatremia / Q000209:etiology; D011141:Polyuria / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000188:drug therapy; D059285:Pregnancy, Twin; D012206:Rhabdomyolysis / Q000209:etiology*
chemical_list: D050034:Antidiuretic Agents; D003894:Deamino Arginine Vasopressin