结节病所致中枢性尿崩症
Central diabetes insipidus due to sarcoidosis.
作者信息
de Waard Wolter I Q, van Battum Patrick L H, Mostard Remy L M
机构信息
Department of Respiratory Medicine, Zuyderland medisch centrum, Heerlen, The Netherlands.
Department of Internal Medicine, Zuyderland medisch centrum, Heerlen, The Netherlands.
出版信息
Sarcoidosis Vasc Diffuse Lung Dis. 2017;34(2):191-193. doi: 10.36141/svdld.v34i2.5439. Epub 2017 Apr 28.
We describe a case of a 40-year old Caucasian male who presented with bihilar enlargement. Additional investigation revealed sarcoidosis. During hospitalization patient developed hypernatremia due to central diabetes insipidus. Central diabetes insipidus was caused by neurosarcoidosis. MRI-scan did not show abnormalities of the pituitary gland, but additional investigation showed hypopituitarism. He was treated with prednisolone, minrin and testosterone. Sodium- and testosterone levels normalised but suppletion is still required. .
我们描述了一例40岁的高加索男性病例，该患者表现为双侧肺门增大。进一步检查发现为结节病。住院期间，患者因中枢性尿崩症出现高钠血症。中枢性尿崩症由神经结节病引起。MRI扫描未显示垂体异常，但进一步检查显示垂体功能减退。他接受了泼尼松龙、弥凝和睾酮治疗。钠和睾酮水平恢复正常，但仍需要补充治疗。
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