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Severe Hypernatremia in a Significantly Underweight Female Child

In this study, we present the case of a 5-year-old female who presented for evaluation of dehydration with labs that revealed significant hypernatremia concerning for diabetes insipidus (DI). Further evaluation revealed that she had underlying chronic malnutrition. Her diagnostic work up for DI prod...

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Detalles Bibliográficos
Autores principales: Coriell, Megan B., Gandham, Prasanthi, Wintergerst, Kupper, Thrasher, Bradly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580639/
https://www.ncbi.nlm.nih.gov/pubmed/34777888
http://dx.doi.org/10.1155/2021/4061852
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author Coriell, Megan B.
Gandham, Prasanthi
Wintergerst, Kupper
Thrasher, Bradly
author_facet Coriell, Megan B.
Gandham, Prasanthi
Wintergerst, Kupper
Thrasher, Bradly
author_sort Coriell, Megan B.
collection PubMed
description In this study, we present the case of a 5-year-old female who presented for evaluation of dehydration with labs that revealed significant hypernatremia concerning for diabetes insipidus (DI). Further evaluation revealed that she had underlying chronic malnutrition. Her diagnostic work up for DI produced some evidence consistent with DI while other data indicated otherwise, bringing up the possibility of partial DI. She was ultimately diagnosed with sporadic vasopressin release secondary to her chronic malnutrition. This case illustrates another effect chronic malnutrition can have on pediatric patients along with the importance of a broad differential for patients with severe hypernatremia.
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spelling pubmed-85806392021-11-11 Severe Hypernatremia in a Significantly Underweight Female Child Coriell, Megan B. Gandham, Prasanthi Wintergerst, Kupper Thrasher, Bradly Case Rep Pediatr Case Report In this study, we present the case of a 5-year-old female who presented for evaluation of dehydration with labs that revealed significant hypernatremia concerning for diabetes insipidus (DI). Further evaluation revealed that she had underlying chronic malnutrition. Her diagnostic work up for DI produced some evidence consistent with DI while other data indicated otherwise, bringing up the possibility of partial DI. She was ultimately diagnosed with sporadic vasopressin release secondary to her chronic malnutrition. This case illustrates another effect chronic malnutrition can have on pediatric patients along with the importance of a broad differential for patients with severe hypernatremia. Hindawi 2021-11-03 /pmc/articles/PMC8580639/ /pubmed/34777888 http://dx.doi.org/10.1155/2021/4061852 Text en Copyright © 2021 Megan B. Coriell et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Coriell, Megan B.
Gandham, Prasanthi
Wintergerst, Kupper
Thrasher, Bradly
Severe Hypernatremia in a Significantly Underweight Female Child
title Severe Hypernatremia in a Significantly Underweight Female Child
title_full Severe Hypernatremia in a Significantly Underweight Female Child
title_fullStr Severe Hypernatremia in a Significantly Underweight Female Child
title_full_unstemmed Severe Hypernatremia in a Significantly Underweight Female Child
title_short Severe Hypernatremia in a Significantly Underweight Female Child
title_sort severe hypernatremia in a significantly underweight female child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580639/
https://www.ncbi.nlm.nih.gov/pubmed/34777888
http://dx.doi.org/10.1155/2021/4061852
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