Adipsia is a disease characterized by the absence of thirst even in the It is a rare condition that typically presents as hypernatremic dehydration. We describe two sisters with chronic hypernatremia, lack of thirst, and inappropriate osmoregulated vasopressin secretion. Only one sister, who presented with. Adipsia, also known as hypodipsia, is a symptom of inappropriately decreased or absent . Type A (essential hypernatremia syndrome) involves an increase of the level in which solvent molecules can pass through cell membranes (osmotic.

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Its outcomes have yet to be evaluated. InHiyama et al.

Adipsic hypernatremia in a patient with pseudotumor cerebri and the primary empty sella syndrome.

Aa, Patient 5; T1-weighted coronal view: Our study was thus unable to provide further insight into the mechanism underlying permanent and transient congenital DI.

Table 1 Summary of clinical characteristics of patients with or without antibody targeting the subfornical organ area. Other midline abnormalities, such as holoprosencephaly, EPP with an absence of the pituitary stalk and anterior pituitary hypoplasia, CNPAS with SMMCI, part of the holoprosencephaly spectrum, have been reported less frequently 13 — 151832 These patients are at risk of severe hyponatremia if they receive both excessive amounts of fluids and DDAVP treatment.

Hypernatremia was diagnosed during the first month of life in eight of the 12 patients and between the ages of 1. The SFO is a specialized area controlling thirst and salt appetite, as well as several neurosecretory systems with neural connections to other brain nuclei and receptors for circulating peptides. Intriguingly, there were similar clinical features among four patients, likely resulting from specific immune responses to the SFO.


In contrast, patients with SFO-reactive antibodies did not exhibit hypoventilation or thermal dysregulation.

We therefore aimed to characterize the initial clinical characteristics of our cohort and to describe the outcome of children with neonatal-onset Hhpernatremia or adipsic hypernatremia DI. This causes the person to retain water and ultimately become unable to feel thirst. J Clin Endocrinol Metab ; Sign In or Create an Account.

These results support a new autoimmunity-related mechanism for inducing adipsic hypernatremia without demonstrable hypothalamic-pituitary structural lesions.

Adipsic hypernatremia in a patient with pseudotumor cerebri and the primary empty sella syndrome.

Purchase access Subscribe to the journal. Retrieved from ” https: A hypernatremia without thirst sensation; B impaired AVP release; C lack of structural aberrance in the hypothalamus-pituitary region; D childhood onset; E obesity; F increased serum PRL; G impairment of GH release; H increased plasma renin-activity; and I intact urine-concentrating capacity. Mortality after hospitalization with mild, moderate, and severe hyponatremia. hypernatremiaa

Contribution of magnetic resonance imaging in non-tumoral hypopituitarism in children. Congenital nasal pyriform aperture stenosis associated with central diabetes insipidus.

The subfornical organ is the primary locus of sodium-level sensing by Na x sodium channels for the control of salt-intake behavior. But, even though the mice were born without dopamine in their systems, they still had the capacity to control their feeding and drinking behaviors, suggesting that dopamine does not play a role in developing those neural circuits.

Because most of the patients were prepubertal, gonadotropin function was not evaluated in most cases.


Endocrine diseases Nephrology Rare diseases Neurology Thirst. Gonadotropin deficiency was suspected in patients displaying no pubertal development at ages at which puberty would normally occur.

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Adipsia – Wikipedia

In cases of neonatal Hypernatremis, adipsic hypernatremia syndrome associated with congenital cerebral malformations was common. The subfornical organs neural connections and their role in water balance. Table 3 shows the characteristics of the 12 patients at a median age of 8.

Central diabetes insipidus in children and young adults: Most of our patients have comorbid conditions rendering CDI management more difficult.

Adipsic Hypernatremia in Two Sisters

Neonatal central diabetes insipidus CDI with or without adipsia is a very rare complication of various complex hypothalamic disorders. Closed arrows indicate direct solid line and indirect dotted line neural connections.

Although almost 50 years have passed, the underlying mechanisms for this condition have yet to be clearly elucidated. Neuroradiographic, endocrinologic, and ophthalmic correlates of adverse developmental outcomes in children with optic nerve hypoplasia: Citing articles via Web of Science 2. Physiol Rev ; This type may be due to some elimination of osmoreceptors. Microsc Res Tech ; Thickened pituitary stalk on magnetic resonance imaging in children with central diabetes insipidus.