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Remission of nephrogenic diabetes insipidus (arginine vasopressin resistance): description of a rare clinical case

https://doi.org/10.14341/omet13007

Abstract

Nephrogenic diabetes insipidus is a heterogeneous disease in the etiopathogenesis of which are involved acquired and congenital factors. In this case, the kidneys do not respond to vasopressin and continue to produce large concentrated volumes of urine. Distinctive features in the pathology of central genesis are the fact of trauma, brain tumor with involvement of pituitary gland, response to intranasal vasopressin in the form of decreased diuresis.

For diagnosis it is important to perform a series of differential diagnostic tests.

In this article we present a unique clinical case of a patient with a long-term course of diabetes insipidus with the development a spectrum of comorbid conditions, metabolic disorders, required kidney transplantation.

About the Authors

R. M. Guseinova
Endocrinology Research Centre
Russian Federation

Raisat M. Guseinova - MD.

11 Dm. Ulyanova street, 117036 Moscow

Scopus Author ID: 58077013800; Researcher ID: HDO-1221-2022


Competing Interests:

Работа выполнена в соавторстве с заведующей редакцией журнала «Ожирение и метаболизм» Дзерановой Л.К. и членом редакционной коллегии журнала «Ожирение и метаболизм» Пигаровой Е.А.



E. A. Pigarova
Endocrinology Research Centre
Russian Federation

Ekaterina A. Pigarova - MD, PhD.

Moscow

Scopus Author ID: 55655098500; Researcher ID: T-9424-2018


Competing Interests:

Работа выполнена в соавторстве с заведующей редакцией журнала «Ожирение и метаболизм» Дзерановой Л.К. и членом редакционной коллегии журнала «Ожирение и метаболизм» Пигаровой Е.А.



L. K. Dzeranova
Endocrinology Research Centre
Russian Federation

Larisa K. Dzeranova - MD, PhD.

Moscow


Competing Interests:

Работа выполнена в соавторстве с заведующей редакцией журнала «Ожирение и метаболизм» Дзерановой Л.К. и членом редакционной коллегии журнала «Ожирение и метаболизм» Пигаровой Е.А.



References

1. Christ-Crain M, Gaisl O. Diabetes insipidus. Presse Med. 2021;50(4):104093. doi: https://doi.org/10.1016/j.lpm.2021.104093

2. Angelousi A, Alexandraki KI, Mytareli C, Grossman AB, Kaltsas G. New developments and concepts in the diagnosis and management of diabetes insipidus (AVP‐deficiency and resistance). J Neuroendocrinol. 2023;35(1). doi: https://doi.org/10.1111/jne.13233

3. Bockenhauer D, van’t Hoff W, Dattani M, et al. Secondary Nephrogenic Diabetes Insipidus as a Complication of Inherited Renal Diseases. Nephron Physiol. 2010;116(4):p23-p29. doi: https://doi.org/10.1159/000320117

4. Trepiccione F, Christensen BM. Lithium-induced nephrogenic diabetes insipidus: New clinical and experimental findings. J Nephrol. 2010;23(16):43-48

5. Stavroulopoulos A, Nakopoulou L, Xydakis AM, Aresti V, Nikolakopoulou A, Klouvas G. Interstitial nephritis and nephrogenic diabetes insipidus in a patient treated with pemetrexed. Ren Fail. 2010;32(8):1000-1004. doi: https://doi.org/10.3109/0886022X.2010.501930

6. Пигарова Е.А. несахарный диабет: эпидемиология, клиническая симптоматика, подходы к лечению // Доктор.Ру. — 2009. — 6-2. — 24-29

7. Di Iorgi N, Napoli F, Allegri AEM, et al. Diabetes Insipidus – Diagnosis and Management. Horm Res Paediatr. 2012;77(2):69-84. doi: https://doi.org/10.1159/000336333

8. Pigarova EA. Tsentral’nyy nesakharnyy diabet: Patogeneticheskie i prognosticheskie aspekty, differentsial’naya diagnostika. [Dissertation] Moscow: 2009.

9. Dzeranova LK, Pigarova EA. Nesakharnyy diabet. In: Endocrinology: National guidelines. Ed. by Dedov I, Mel’nichenko G. Moscow: GEOTAR-Media; 2008. p. 673–677.

10. Пигарова Е.А., Дзеранова Л.К. Диагностика и лечение центрального несахарного диабета // Ожирение и метаболизм. — 2014. — Т.11. — №4. — С. 48-55. doi: https://doi.org/10.14341/omet2014448-55

11. Дедов И.И., Мельниченко Г.А., Пигарова Е.А., и соавт. Федеральные клинические рекомендации по диагностике и лечению несахарного диабета у взрослых // Ожирение и метаболизм. 2018;15(2):56-71. doi: https://doi.org/10.14341/omet9670

12. Christ-Crain M, Winzeler B, Refardt J. Diagnosis and management of diabetes insipidus for the internist: an update. J Intern Med. 2021. doi: https://doi.org/10.1111/joim.13261

13. Hui C, Khan M, Khan Suheb MZ, Radbel JM. Diabetes Insipidus. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2023; June 1

14. De Bellis A, Colao A, Bizzarro A, et al. Longitudinal Study of Vasopressin- Cell Antibodies and of Hypothalamic-Pituitary Region on Magnetic Resonance Imaging in Patients with Autoimmune and Idiopathic Complete Central Diabetes Insipidus. J Clin Endocrinol Metab. 2002;87(8):3825-3829. doi: https://doi.org/10.1210/jcem.87.8.8757

15. Rosenthal W, Antaramian A, Gilbert S, Birnbaumer M. Nephrogenic diabetes insipidus. A V2 vasopressin receptor unable to stimulate adenylyl cyclase. J Biol Chem. 1993;268(18):13030-13033. doi: https://doi.org/10.1016/S0021-9258(19)38614-4

16. Hill NR, Fatoba ST, Oke JL, et al. Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis. Remuzzi G, ed. PLoS One. 2016;11(7):e0158765. doi: https://doi.org/10.1371/journal.pone.0158765

17. Rose BD, Post TW. Clinical physiology of Acidbase and Electrolyte disorders, 5th ed. Mcgraw – Hilli, Newyork. 2000; PP. 754-758. 6

18. Teitelbaum I, McGuinness S. Vasopressin resistance in chronic renal failure: Evidence for the role of decreased V2 receptor mRNA. J Clin Invest. 1995. doi: https://doi.org/10.1172/JCI118044

19. Bockenhauer D, van’t Hoff W, Dattani M, et al. Secondary Nephrogenic Diabetes Insipidus as a Complication of Inherited Renal Diseases. Nephron Physiol. 2010;116(4):p23-p29. doi: https://doi.org/10.1159/000320117


Supplementary files

1. Figure 1. Mechanism of urine concentration by vasopressin in the collecting duct.
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Type Исследовательские инструменты
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For citations:


Guseinova R.M., Pigarova E.A., Dzeranova L.K. Remission of nephrogenic diabetes insipidus (arginine vasopressin resistance): description of a rare clinical case. Obesity and metabolism. 2024;21(1):92-98. (In Russ.) https://doi.org/10.14341/omet13007

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