Paydas S, Paydas S
Cukurova University Medical Faculty, Department of Internal Medicine, Adana, Turkey.
Int J Hematol. 1992 Aug;56(1):103-5.
Diabetes insipidus (DI) is a disorder characterized by polyuria, polydipsia and increased thirst [1] while pituitary DI is a syndrome that is known to result from deficient release of the antidiuretic hormone (ADH) [2,3]. Trauma to the neurohypophysis (operational or accidental) is the most common cause of DI. Primary or metastatic intracranial tumors are the second most common cause of DI. Among the less frequent causes are the granulomatous lesions or infections of the central nervous system, drugs and vascular lesions [2]. In 30-40% of the patients, there is no identifiable cause (idiopathic DI). Idiopathic thrombocytopenic purpura (ITP) is an immunologically mediated destructive thrombocytopenia. The clinical diagnosis is made after excluding the presence of other disorders that are known to be associated with shortened platelet survival [4]. In this paper two cases of DI and ITP are described.
尿崩症(DI)是一种以多尿、烦渴和口渴增加为特征的疾病[1],而垂体性尿崩症是一种已知由抗利尿激素(ADH)释放不足引起的综合征[2,3]。神经垂体创伤(手术或意外)是尿崩症最常见的原因。原发性或转移性颅内肿瘤是尿崩症的第二大常见原因。较不常见的原因包括中枢神经系统的肉芽肿性病变或感染、药物和血管病变[2]。在30%至40%的患者中,没有可识别的病因(特发性尿崩症)。特发性血小板减少性紫癜(ITP)是一种免疫介导的破坏性血小板减少症。在排除已知与血小板存活缩短相关的其他疾病后做出临床诊断[4]。本文描述了两例尿崩症和特发性血小板减少性紫癜的病例。