Langerhans Cell Histiocytosis with Central Diabetes Insipidus: A Case Report / 영남의대학술지
Yeungnam University Journal of Medicine
;
: 259-265, 2005.
Artigo
em Coreano
| WPRIM
| ID: wpr-162068
ABSTRACT
Central diabetes insipidus (DI) is a syndrome characterized by thirst, polydipsia and polyuria. Langerhans cell histiocytosis is one of the etiologies of DI. Recently we experienced a central DI associated with Langerhans cell histiocytosis. The 44 years old female patient complained right hip pain, polydipsia and polyuria. We carried out water deprivation test. After vasopressin injection, urine osmotic pressure was increased from 109 mOsmol/kg to 327 mOsmol/kg (300%). Brain MRI showed a thickened pituitary stalk and air bubble like lesions sized with 5cm, 7cm was shown on fifth L-spine and right hip bone at hip bone CT. CT guided biopsy revealed abnormal histiocytes proliferation and abundant lymphocytes. The final diagnosis was central DI associated with systemic Langerhans cell histiocytosis invading hip bone, L-spine and pituitary stalk. Desmopressin and etoposide chemotherapy were performed to the patient.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pressão Osmótica
/
Hipófise
/
Poliúria
/
Sede
/
Privação de Água
/
Biópsia
/
Encéfalo
/
Vasopressinas
/
Imageamento por Ressonância Magnética
/
Linfócitos
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Yeungnam University Journal of Medicine
Ano de publicação:
2005
Tipo de documento:
Artigo
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