Re: Nephrogenic diabetes insipidus / iron deposition
>Subject: Nephrogenic diabetes insipidus / iron deposition
>From: ironjustice@aol.comdoe (doe)
>Date: 10/4/2004 7:07 AM Mountain Daylight Time
>Message-id: <20041004090727.08241.00001361@mb-m10.aol.com>
>
><<snip>>
>iron deposition resulting from hemochromatosis leads to Nephrogenic diabete
s
>insipidus
><<snip>>
>
>Am J Kidney Dis. 2002 Aug;40(2):403-6. Related Articles, Links
>
>
>Nephrogenic diabetes insipidus associated with hemochromatosis.
>
>Okumura A, Kondo K, Hirai C, Nishimura H, Tamai H, Kawarazaki F, Ichikawa M
,
>Mizuno M, Oiso Y, Yamamoto M.
>
>Department of Endocrinology and Metabolism, Anjo Kosei Hospital, Anjo, Japa
n.
>okumura@kosei.anjo.aichi.jp
>
>Although hemochromatosis is one of the most common genetic disorders in
>humans,
>the clinical information on iron-induced renal impairment is limited. We
>describe the clinical features of nephrogenic diabetes insipidus (NDI)
>observed
>in a case of hemochromatosis. A 57-year-old diabetic man was admitted to th
e
>hospital with a 6-month history of persistent polyuria, which had been
>sustained after glycemic optimization with insulin therapy and resulted in
>hepatic coma. Despite sufficient basal excretion of arginine vasopressin,
>impaired urinary concentrating capacity was observed, which could not be
>corrected by supraphysiologic doses of exogenous arginine vasopressin.
>Histochemical investigations showed widely distributed iron deposition in
>hepatocytes and moderately increased iron deposits in the tubular epitheliu
m
>of
>distal urinary tubules and collecting ducts, suggesting that iron depositio
n
>resulting from hemochromatosis leads to NDI. This may be the first case
>report
>of NDI associated with hemochromatosis in humans. More attention should be
>paid
>to latent NDI as another complication of hemochromatosis. Copyright 2002 by
>the
>National Kidney Foundation, Inc.
>
>Publication Types:
>Case Reports
>
>PMID: 12148115 [PubMed - indexed for MEDLINE]
>
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