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Primary Polydipsia in Children: Two Case Reports

  • Hwang, Nu Ri (Department of Pediatrics, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Kim, Min Sun (Department of Pediatrics, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Kim, Soon Chul (Department of Pediatrics, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Lee, Dae-Yeol (Department of Pediatrics, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital)
  • Received : 2018.06.07
  • Accepted : 2018.09.05
  • Published : 2018.10.31

Abstract

Primary polydipsia (PP) is marked by an increase in thirst, and most often presents in patients with psychiatric illnesses. Although uncommon in children, we experienced cases of PP in a 15-month-old boy and a 5-year-old girl. Both were admitted to the hospital with symptoms of polydipsia and polyuria that appeared 1-3 months before admission. Brain magnetic resonance imaging in both patients was normal. A water restriction test was performed after hospitalization and showed normal results. The symptoms improved after the parents were instructed to implement water-intake restriction for 2 weeks. Our report provides useful information for the treatment of PP in children.

Keywords

References

  1. Tournikioti K, Voumvourakis K, Moussas G, Plachouras D, Michopoulos I, Douzenis A, et al. Primary polydipsia: A case report. J Nerv Ment Dis 2013;201:709-11. https://doi.org/10.1097/NMD.0b013e31829c50fc
  2. van Santen HM, Jobsis JJ, Kamp G. A practical algorithm for polydipsia in children. Ned Tijdschr Geneeskd 2014;158:A7595.
  3. Di Iorgi N, Napoli F, Elsa Maria Allegri A, Olivieri I, Bertelli E, Gallizia A, et al. Diabetes insipidus - Diagnosis and management. Horm Res Paediatr 2012;77:69-84. https://doi.org/10.1159/000336333
  4. Metropulos D, Antoon JW. Primary polydipsia in a child. Clin Pediatr (Phila) 2015;54:1396-8. https://doi.org/10.1177/0009922815589742
  5. Cronin RE. Psychogenic polydipsia with hyponatremia: Report of eleven cases. Am J Kidney Dis 1987;9:410-6. https://doi.org/10.1016/S0272-6386(87)80144-0
  6. Sahin ve ark. A case of primary polydipsia presenting with severe malnutrition. Turk Arch Ped 2013;251-4.
  7. Grunberg J, Gazzara G, Lopez P, Esquivel N. Psychogenic polydipsia in a child. Bol Med Hosp Infant Mex 1981;38:807-15.
  8. Tarim O. Disorders of water homeostasis in children. Turkiye Klinikleri J Pediatr Sci 2006;2:108-14.
  9. Robertson GL. Diabetes insipidus: differential diagnosis and management. Best Pract Res Clin Endocrinol Metab 2016;30:205-18. https://doi.org/10.1016/j.beem.2016.02.007
  10. Ergin H, Semiz S, Dagdeviren E. Psychogenic polydipsia: A case report. Cocuk sagligi ve Hastaliklari Dergisi 2006;49:319-21.

Cited by

  1. Psychogenic polydipsia in a female adolescent without a psychiatric background: A case report vol.9, pp.4, 2018, https://doi.org/10.1002/ccr3.3910