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Manifestation of Central Diabetes Insipidus in a Patient with Thyroid Storm.
- Source :
-
Internal medicine (Tokyo, Japan) [Intern Med] 2018 Jul 01; Vol. 57 (13), pp. 1939-1942. Date of Electronic Publication: 2018 Feb 28. - Publication Year :
- 2018
-
Abstract
- We herein report a case of central diabetes insipidus complicated with thyroid storm. A middle-aged woman who was receiving treatment for Graves' disease suddenly complained of polydipsia, polyuria and general fatigue. Laboratory tests showed hyperthyroidism, hypernatremia, hypoosmolar urine and a decreased plasma vasopressin level. The occurrence of central diabetes insipidus with hyperthyroidism was revealed on the basis of pituitary magnetic resonance imaging, a water deprivation test and a desmopressin test. The clinical co-existence of diabetes insipidus and hyperthyroidism is very rare; however, the complication should be considered when hypernatremia and/or dehydration progress in patients with Graves's disease as a common autoimmune-related etiology.
Details
- Language :
- English
- ISSN :
- 1349-7235
- Volume :
- 57
- Issue :
- 13
- Database :
- MEDLINE
- Journal :
- Internal medicine (Tokyo, Japan)
- Publication Type :
- Academic Journal
- Accession number :
- 29491282
- Full Text :
- https://doi.org/10.2169/internalmedicine.0063-17