Primary Polydipsia
Autor: | Diamantis Plachouras, Kalliopi Tournikioti, Efstratios Lamboussis, Christos Christodoulou, Konstantinos Voumvourakis, Athanasios Douzenis, Georgios Moussas, Rossetos Gournellis, Ioannis Michopoulos |
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Rok vydání: | 2013 |
Předmět: |
Adenoma
Adult Male medicine.medical_specialty Pediatrics medicine.diagnostic_test Polyuria Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging Pathophysiology Thirst Lesion Psychiatry and Mental health medicine Humans Psychogenic disease Primary polydipsia Pituitary Neoplasms Polydipsia Psychogenic medicine.symptom Psychology Psychiatry Polydipsia |
Zdroj: | Journal of Nervous & Mental Disease. 201:709-711 |
ISSN: | 0022-3018 |
Popis: | Primary polydipsia (PP) is etiologically associated with physical factors and psychiatric disorders ("psychogenic polydipsia"). We present the case of a 28-year-old man with severe symptoms of polydipsia and polyuria. After a comprehensive physical assessment, the only finding was a lesion suggestive of pituitary microadenoma in the magnetic resonance imaging (MRI) scan of the brain. A thorough clinical and diagnostic assessment and the administration of a wide range of psychometric tools revealed no major psychiatric disorder apart from chronic anxiety and mild depressive symptoms. Our patient's PP symptoms might be associated with a dysfunction of the thirst center, which is located closely to the neuroanatomical lesion found in the MRI scan. Given that the underlying pathophysiology of PP remains, to a large extent, unclear, we emphasize on the difficulties to distinguish between PP's subtypes. |
Databáze: | OpenAIRE |
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