Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Department of Pediatric Nephrology, Augusta Victoria Hospital, Jerusalem, Palestine.
J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241278404. doi: 10.1177/23247096241278404.
Primary polydipsia (PP) is a rare but significant clinical entity in pediatric patients. Here, we present the case of a 16-month-old female referred to our center due to recurrent episodes of electrolyte imbalances. Initially admitted for management of a viral illness, she experienced unexplained electrolyte disturbances, prompting subsequent admissions marked by similar disruptions. Despite stabilization and discharge, her condition persisted. Pre-referral laboratory findings revealed significant electrolyte abnormalities alongside polyuria symptoms. Investigations unveiled a history of frequent heavy wet diapers and increased thirst. Further tests including a water deprivation test excluded diabetes insipidus. Following the restriction of water intake and careful monitoring, her condition markedly improved. This case emphasizes the importance of thorough evaluation in persistent electrolyte imbalances in toddlers, highlighting the role of polyuria as a contributing factor and the efficacy of targeted interventions in managing such cases.
原发性多尿症（PP）在儿科患者中是一种罕见但重要的临床病症。在这里，我们报告了一例 16 个月大的女性病例，她因反复出现电解质失衡而被转至我们中心。她最初因病毒性疾病入院治疗，期间出现不明原因的电解质紊乱，随后多次入院，情况类似。尽管经过稳定和出院，她的病情仍持续存在。转诊前的实验室检查结果显示存在明显的电解质异常和多尿症状。调查揭示了频繁大量湿尿布和口渴增加的病史。进一步的检查包括禁水试验，排除了尿崩症。在限制水的摄入和仔细监测后，她的病情明显改善。这个病例强调了在幼儿持续电解质失衡时进行彻底评估的重要性，突出了多尿作为一个促成因素的作用，以及针对这些病例进行有针对性干预的效果。
