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Journal of the Korean Pediatric Society 1980;23(9):710-716.
Published online September 15, 1980.
Clinical Review of Diabetes Insipidus in Children.
Chul Min Lee, Young Hun Chung
Department of Pediatrics, Chungnam National University college of Medicine, Daejeon, Korea.
Abstract
Clinical review of 5 pediatric diabetes insipidus, who have been admitted and treated at Dept. of Pediatric in Chungnam University Hospital from Aug. 1974 to May 1979, were summarized as follows: 1) The common complaints were polyuria and polydipsia, and anorexia, general weakness, poor visual acuity, vomiting, and headache were associated occasionally. 2) Male to female ratio was 3:2, the age distribution was between 4 to 13 years old. 3) The duration which was from onset to visiting hospital was betwen 5 months to 13 months. 4) Etiologic causes were 2 cases of idiopathic, 1 of pinealoma, 1 of head trauma, and 1 of nephrogenic origin.5) Urine specific gravity was below 1.004 in all cases, and the amount of urine output per day was 4.8l to 5.9l. 6) Hypernatremia was observed in nephrogenic case but others were within normal limits. 7) On simple skull X-ray, calcification was seen in pinealoma which was displaced upward and backed, and it was confirmed by C-T scan. 8) Chlorpropamide was effective on idiopathic and traumatic origin but there was no response on nephrogenic origin.


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