Turkish Archives of Pediatrics
Case Report

Primary polydipsia case presenting with severe malnutrition

1.

Department of Pedatric Gastroenterology, Celal Bayar University Faculty of Medicine, Manisa, Turkey

2.

Department of General Pediatrics, Dr. Sami Ulus Maternity and Chilren's Health Training and Research Hospital, Ankara, Turkey

3.

Department of Pediatrics, Dr. Sami Ulus Women’s and Children’s Health Research and Training Hospital, Ankara, Turkey

4.

Department of Pediatric Oncology, Dr. Sami Ulus Maternity and Chilren's Health Training and Research Hospital, Ankara, Turkey

Turk Arch Pediatr 2013; 48: 251-254
DOI: 10.4274/tpa.695
Read: 1013 Downloads: 736 Published: 09 December 2020

Primary polydipsia is a clinical status with excessive fluid consumption without any physiological need. A seventeen-month-old male infant with severe malnutrition and developmental retardation was found to have polyuria and polydipsia in the follow-up. The urine density was found to be 1001, Na was found to be 124 mEq/L and the serum and urine osmolarity was found to be low. The patient was diagnosed with primary polydipsia and was treated by gradually water restriction. This case is presented to emphasize that primary polydipsia changes nutritional habits which may lead to malnutrition and developmental retardation. (Turk Arch Ped 2013; 48: 251-4)


Ağır beslenme bozukluğu ile başvuran birincil polidipsi olgusu

Birincil polidipsi, fizyolojik gereksinim olmadan aşırı sıvı tüketimiyle giden bir klinik durumdur. Ağır beslenme bozukluğu, gelişme geriliği olan 17 aylık erkek hastada izlemde poliüri ve polidipsi saptandı. İdrar yoğunluğu 1001, serum Na: 124 mEq/L, serum ve idrar osmolaritesi düşük bulunarak birincil polidipsi tanısı kondu. Aşamalı sıvı kısıtlaması uygulanarak tedavi edildi. Bu olgu, birincil polidipsinin beslenme alışkanlıklarını değiştirerek, beslenme bozukluğu ve gelişme geriliğine yol açabileceğinin vurgulanması amacıyla sunulmuştur. . (Türk Ped Arş 2013; 48: 251-4)

Files
EISSN 2757-6256