Nepali Anil, Adhikari Prakriti, Shah Amit, Paudel Shailes, Bhandari Prakriti
Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
Kathmandu University School of Medical Sciences, Dhulikhel, Kavreplanchowk, Nepal.
JNMA J Nepal Med Assoc. 2024 Feb 29;62(271):217-219. doi: 10.31729/jnma.8501.
Diabetes insipidus is a condition characterised by a large volume of diluted urine production and increased thirst. In this case report, a 49-year-old gentleman presented with 3 months of polyuria and polydipsia. He had a repeated history of hypokalemia. On the evaluation of polyuria and polydipsia, he was diagnosed with partial nephrogenic diabetes insipidus based on his inability to concentrate urine after a water deprivation test and his less than 50% response to exogenous desmopressin. On the evaluation of recurrent hypokalemia, the investigation reports met biochemical criteria for the diagnosis of Gitelman syndrome. He was encouraged to increase his fluid intake as required, and potassium chloride supplementation relieved his symptoms. This case report demonstrates the reversibility of nephrogenic diabetes insipidus with a correction of hypokalemia.
尿崩症是一种以大量稀释尿液生成和口渴增加为特征的病症。在本病例报告中,一名49岁男性出现了3个月的多尿和烦渴症状。他有反复低钾血症病史。在对多尿和烦渴进行评估时,由于禁水试验后他无法浓缩尿液且对外源性去氨加压素的反应小于50%,他被诊断为部分性肾性尿崩症。在对复发性低钾血症进行评估时,检查报告符合吉特林综合征的生化诊断标准。鼓励他根据需要增加液体摄入量,补充氯化钾缓解了他的症状。本病例报告证明了肾性尿崩症在低钾血症得到纠正后具有可逆性。