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A Diagnostic Enigma of Central Versus Nephrogenic Diabetes Insipidus: What Does the Value of Copeptin Signify?
Shrestha, Dhan B; Jasaraj, Ranjit B; Dhital, Roman; Georges, Esho; Havrylyan, Andriy.
Afiliación
  • Shrestha DB; Department of Medicine, Mount Sinai Hospital, Chicago, USA.
  • Jasaraj RB; Department of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
  • Dhital R; Medicine, Institute of Medicine, Kathmandu, NPL.
  • Georges E; Department of Nephrology, Mount Sinai Hospital, Chicago, USA.
  • Havrylyan A; Department of Endocrinology, Mount Sinai Hospital, Chicago, USA.
Cureus ; 14(2): e22633, 2022 Feb.
Article en En | MEDLINE | ID: mdl-35371639
Diabetes insipidus (DI) is a rare disease characterized by hypotonic urine output and polydipsia. We report the case of a 50-year-old male admitted for diabetic ketoacidosis (DKA) in an intensive care unit with sepsis and alcoholic pancreatitis who later developed DI. He had a high copeptin level of >21.4 pmol/L, suggesting DI of nephrogenic origin. At presentation, he had DKA-associated osmotic diuresis. His later finding of elevated copeptin suggesting partial nephrogenic DI created a diagnostic enigma.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: Cureus Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos