Pediatr. praxi. 2016;17(3):182-185 | DOI: 10.36290/ped.2016.041

All water: a case of acute hyponatraemia

MUDr. Jakub Pecl
Dětské oddělení, Orlickoústecká nemocnice

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.

Keywords: psychogenic polydipsia, water intoxication, acute hyponatraemia, hyponatraemic encephalopathy

Published: August 1, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Pecl J. All water: a case of acute hyponatraemia. Pediatr. praxi. 2016;17(3):182-185. doi: 10.36290/ped.2016.041.
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