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Publication details
Samá voda – případ akutní hyponatrémie
Title in English | All water: a case of acute hyponatraemia |
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Authors | |
Year of publication | 2016 |
Type | Article in Periodical |
Magazine / Source | Pediatrie pro praxi |
MU Faculty or unit | |
Citation | |
Web | https://www.pediatriepropraxi.cz/artkey/ped-201603-0012_Sama_voda-pripad_akutni_hyponatremie.php |
Keywords | psychogenic polydipsia; water intoxication; acute hyponatraemia; hyponatraemic encephalopathy |
Description | The case report presents a boy who was treated with desmopressin for polyuria and polydipsia, and was suspected to have central diabetes insipidus. During the treatment, he developed generalized tonic-clonic seizures and disturbance of consciousness due to acute hyponatraemia with water intoxication, a condition referred to as hyponatraemic encephalopathy. Following the revision of diagnosis, a definitive diagnosis was made of psychogenic polydipsia with an underlying ADHD. The case report aims to highlight the need to perform a complete examination algorithm in the differential diagnosis of polydipsia and polyuria, even prior to commencing pharmacological treatment. |