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논문 기본 정보

자료유형
학술저널
저자정보
Juyeon Lee (Department of Pediatrics Ajou University School of Medicine Suwon Republic of Korea) Hae Il Cheong (Department of Pediatrics Hallym University Sacred Heart Hospital Anyang Republic of Korea) Jung Won Lee (Department of Pediatrics Ewha Womans University College of Medicine Seoul Republic of Korea) Ki Soo Pai (Department of Pediatrics Ewha Womans University College of Medicine Seoul Republic of Korea)
저널정보
대한소아신장학회 Childhood Kidney Diseases Childhood Kidney Diseases 제26권 제2호
발행연도
2022.12
수록면
107 - 110 (4page)

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Nephrogenic diabetes insipidus, decreased ability to concentrate urine, with production of large amounts of urine, is caused by the refractory response of renal tubules to the action of antidiuretic hormone. This rare disorder, known as X-linked nephrogenic diabetes insipidus, is caused by a mutation in the AVPR2 gene. Because it is hereditary, most patients are male. This report highlights a case of nephrogenic diabetes insipidus in a 3-year 5-month-old female; upon presentation to the hospital, her symptoms included frequent urination and consumption of a significant amount of water, which had begun 2 years ago. The results of blood tests showed increased levels of serum antidiuretic hormone, and sellar magnetic resonance imaging showed no abnormality. The results of the water restriction test and the desmopressin administration test confirmed the diagnosis of nephrogenic di-abetes insipidus showing a partial response to desmopressin. The results of genetic testing indicated the presence of an AVPR2 mutation, a heterozygous missense mutation (p.Val88Met), suggesting inheritance of X-linked nephrogenic diabetes insipidus. This report describes a significant case of symptomatic X-linked nephrogenic diabetes insipidus in a female patient who showed a partial response to desmopressin.

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