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Psychogenic Adipsia Presenting as Recurrent Functional Vomiting and Hypernatremia

Journal: The Journal of the American Osteopathic Association Date: 2020/05, 120(5):Pages: 359-361. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.7556/jaoa.2020.055/html)

Keywords:

hypernatremia [1]
renal fluid loss [1]
gastrointestinal fluid loss [1]
psychogenic adipsia [1]
case report [514]

Abstract:

Hypernatremia is caused by a disproportionate balance of inadequate free water relative to sodium level. Frequent causes of hypernatremia include renal or gastrointestinal fluid loss, hypothalamic injury, and endocrine abnormalities. The authors describe a rare case of hypernatremia that manifested secondary to psychogenic adipsia in a 46-year-old woman presenting with intractable vomiting. Her presenting symptoms and laboratory abnormalities resolved after treatment was initiated for major depression. This case highlights the need for a holistic approach when confronted with a case of unexplained hypernatremia.


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