Case Report : Polyuria with the Concurrent manifestation of Central Diabetes Insipidus (CDI) & Type 2 Diabetes Mellitus (DM)
분야
의약학 > 기타(의약학)
저자
( Hyun Jong Shin ) , ( Jae Ha Kim ) , ( Joo Hark Yi ) , ( Sang Woong Han ) , ( Ho Jung Kim )
발행기관
대한전해질학회
간행물정보
Electrolytes & Blood Pressure 2012년, 제10권 제1호, 26~30페이지(총5페이지)
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0v900248.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    We report a rare case of the concurrent manifestation of central diabetes insipidus (CDI) and type 2 diabetes mellitus (DM). A 56 year-old man was diagnosed as a type 2 DM on the basis of hyperglycemia with polyuria and polydipsia at a local clinic two months ago and started an oral hypoglycemic medication, but resulted in no symptomatic improvement at all. Upon admission to the university hospital, the patient`s initial fasting blood sugar level was 140mg/dL, and he showed polydipsic and polyuric conditions more than 8 L urine/day. Despite the hyperglycemia controlled with metformin and diet, his symptoms persisted. Further investigations including water deprivation test confirmed the coexisting CDI of unknown origin, and the patient`s symptoms including an intense thirst were markedly improved by desmopressin nasal spray (10 μg/day). The possibility of a common origin of CDI and type 2 DM is raised in a review of the few relevant adult cases in the literature.
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