title: Gestational Diabetes Insipidus Associated with HELLP Syndrome: A Case Report.
abstract: Gestational diabetes insipidus is a rare, but well recognized, complication of pregnancy. It is related to excess vasopressinase enzyme activity which is metabolized in the liver. A high index of suspicion of gestational diabetes insipidus is required in a correct clinical setting especially in the presence of other risk factors such as preeclampsia, HELLP syndrome, and twin pregnancies. We are presenting a case of gestational diabetes insipidus in a patient with HELLP syndrome. The newborn in this case also had hypernatremia thereby raising possibilities of vasopressinase crossing the placenta.
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Renela
authors.initials: R
authors.lastname: Gambito
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Chan
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sheta
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Precious
authors.initials: P
authors.lastname: Ramirez-Arao
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Harmeet
authors.initials: H
authors.lastname: Gurm
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Allan
authors.initials: A
authors.lastname: Tunkel
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; Section of Nephrology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Noel
authors.initials: N
authors.lastname: Nivera