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| 증례 : 거대요관과 거대방광이 동반된 선천성 신성요붕증 1 예 (Case Reports : A Case of Congenital Nephrogenic Diabetes Insipidus with Megaureter and Megabladder) |
| 이은정(Eun Jung Rhee),이규백(Kyu Beck Lee),서정열(Jung Yul Suh),김향(Hyang Kim),박흥재(Heung Jae Park),김영학(Young Hak Kim),권칠훈(Chil Hun Kwon),이영래(Young Rae Lee) |
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| Abstract |
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A case of a 37 year-old man of congenital diabetes insipidus is reported. He complained of polydipsia, which began from his youth, drinking about 10 L of water every day. He didn't look ill or mentally retarded. In his family, his only brother has shown similar symptoms and his older sister had no symptom. On radiologic study, both kidneys showed severe hydronephrosis and the bladder was markedly distended. Water deprivation test was performed. The result was consistent with diabetes insipidus and the urine osmolality didn't respond to antidiuretic hormone injection, and he was diagnosed as nephrogenic diabetes insipidus. We began to treat him with thiazide and amiloride. The amount of water he's been drinking daily has decreased to 3-4 L per day. We discuss this case with a brief review of literature. |
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