Nephrogenic diabetes insipidus
Abstract
Diabetes insipidus (DI) is a disease characterized by inadequate production or deficient action of antidiuretic hormone (ADH), also known as vasopressin, resulting in excessive urine excretion and extreme thirst. This article explores the pathophysiology of diabetes insipidus, highlighting the importance of ADH in the regulation of body water balance and urine concentration. The different types of diabetes insipidus are examined, including central and nephrogenic, with emphasis on their underlying causes and clinical manifestations. Furthermore, advances in the diagnosis and evaluation of diabetes insipidus are another central point of the article. The results of the reviewed studies suggested that the efficacy and safety of various treatments for diabetes insipidus, such as antidiuretic hormone loss, receptor-sensitizing agents and non-pharmacological approaches have been effective, as well as the importance of prognostic factors and complications, since they can influence the prognosis of the disease and increase the risk of complications; this can help to guide clinical management. As a result, the conclusion is that recent advances in understanding the pathophysiology of diabetes insipidus have significantly improved the diagnosis and management of this disease. However, challenges remain in managing complications and caring for special populations, highlighting the need for continued research and multidisciplinary care to optimize outcomes in patients with diabetes insipidus.
Keywords: hypercalcemia, hypokalemia, nephrogenic diabetes insipidusDownloads
References
Mutter CM, Smith T, Menze O, Zakharia M, Nguyen H. Diabetes insipidus: pathogenesis, diagnosis, and clinical management. Cureus. 2021;13(2).
González Tabares R, Acosta González FA. Diabetes insípida, panhipofisitis y silla turca vacía. Presentación de un caso. Rev Med Electrón. 2022;44(5):914-924
Christ Crain M, Winzeler B, Refardt J. Diagnóstico y manejo de la diabetes insípida para el internista: una actualización. Rev Med Int. 2021;290(1):73-87
Velásquez Jones L, Medeiros Domingo M.Diabetes insípida nefrogénica. Boletín Médico del Hospital Infantil de México.2021;71(6):332-338.
Domínguez LM, Iraola GA. Diabetes insípida nefrogénica. En: Tratado de pediatría. Editorial Médica Panamericana; 2019. pp. 2012-2014.
de Castro Pretelt MJ. Diabetes insípida nefrogénica inducida por litio: el papel de las aquaporinas. Salud Uninorte. 2021;(20):59-64.
Merchán JC, Moreno PA, Peña JL. Diabetes insípida nefrogénica: diagnóstico en un hospital de mediana complejidad en Colombia. 16 de abril. 2020;54(260):56-61.
Maldonado P, Pino S, Norero C. Diabetes insípida nefrogénica: Presentación de tres casos. Breve revisión del tema. Rev Chil Pediatr. 2019;51(1):61-67.
Galiana Royo P.Diabetes insípida nefrogénica congénita neonatal: Aproximación al diagnóstico y tratamiento [Tesis].[España]:Universidad Católica de Valencia; 2021.69p. Disponible en:
Bauset MC, Peral AG, Henzi FT, Murillo AZ, Esteban BM, Ravinovich IH, et al. Guía clínica del diagnóstico y tratamiento de los trastornos de la neurohipófisis. Endocrinol Nutr. 2019;54(1):23-33.
Guerrero KDM, Montalvo KGC, Vaca VML, Villa HSA. Metodologías diagnósticas y etiologías como diagnósticos diferenciales en pacientes con diabetes insípida central. Dom Cien.2023;9(4):1161-1176
Uribe JCV, Maya GC, Velásquez JMA. Diabetes insípida: generalidades y diagnóstico en pacientes pediátricos. Med Laborat. 2020;19(07-08):353-380.
Hechanova LA. Resistencia a la arginina Vasopresina (Diabetes insípida nefrogénica.2024.Disponible en:
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