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)
파일형식: 0v900248.pdf [무료 PDF 뷰어 다운로드]
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연관 논문

증례 : 내분비-대사 ; 중추성 요붕증과 제2형 당뇨병이 동반된 고혈당성 고삼투압 증후군 1예

S-289 : A Case of Adult Onset Langerhans Cell His tiocytosis Presenting with Central Diabet es Insipidus

CASE REPORT : Pulmonary Langerhans Cell Histiocytosis in an Adult Male Presenting with Central Diabetes Insipidus and Diabetes Mellitus: A Case Report

증례 : 급성 골수성 백혈병 ( M6 ) 에 합병된 중추성 요붕증 1 예 ( A Case of Diabetes Insipidus with Acute Erythroleukemia )

Polyuria with concurrent manifestation of central diabetes insipidus and type 2 diabetes mellitus

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.

#Polyuria # Central diabetes insipidus # Type 2 diabetes mellitus # Water deprivation test

[[솔루션]] :: Lehninger Biochemistry 5edition[the foundations of Biochemistry]

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