A Rare Case of Lithium-induced Partial Nephrogenic Diabetes Insipidus.

diabetes insipidus lithium induced diabetes insipidus lithium induced partial diabetes insipidus partial diabetes insipidus

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
28 Apr 2020
Historique:
entrez: 4 6 2020
pubmed: 4 6 2020
medline: 4 6 2020
Statut: epublish

Résumé

Chronic lithium therapy in patients with bipolar disorder and other psychiatric illnesses can lead to a very common side effect of complete or partial nephrogenic diabetes insipidus. After confirmation of hypotonic polyuria, water deprivation test with desmopressin injection is used to make the diagnosis. Incomplete response to desmopressin suggests partial nephrogenic diabetes insipidus. We report a rare case of a 58-year-old patient who presented with hypernatremia and hypotonic polyuria secondary to chronic lithium therapy. She was diagnosed with partial nephrogenic diabetes insipidus secondary to chronic lithium therapy and was treated with amiloride resulting in improvement.

Identifiants

pubmed: 32489731
doi: 10.7759/cureus.7877
pmc: PMC7255560
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e7877

Informations de copyright

Copyright © 2020, Rauf et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Am J Physiol Renal Physiol. 2006 Jul;291(1):F37-8
pubmed: 16571597
Am J Physiol Renal Physiol. 2006 Jul;291(1):F39-48
pubmed: 16434572
Nat Rev Nephrol. 2009 May;5(5):270-6
pubmed: 19384328
BMJ Case Rep. 2019 Sep 6;12(9):
pubmed: 31494590
Horm Res Paediatr. 2012;77(2):69-84
pubmed: 22433947
Kidney Int. 2009 Jul;76(1):44-53
pubmed: 19367330
Am J Physiol Cell Physiol. 2012 Jan 1;302(1):C131-40
pubmed: 21881002

Auteurs

Abdul Rauf (A)

Internal Medicine, SSM Health St. Mary's Hospital, St. Louis, USA.

Sawara Gul (S)

Internal Medicine, Lady Reading Hospital, Peshawar, PAK.

Mohammad Nasir (M)

Neurological Surgery, Hayatabad Medical Complex, Peshawar, PAK.

Uroosa Arif (U)

Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK.

Mosunmoluwa Oyenuga (M)

Internal Medicine, SSM Health St. Mary's Hospital, St. Louis, USA.

Classifications MeSH