Primary polydipsia case presenting with severe malnutrition

Abstract

ÖzetBirincil polidipsi, fizyolojik gereksinim olmadan a §iri sivi tüketimiyle giden bir klinik durumdur. Agir beslenme bozukiugu, geli §me geriligi olan 17 aylik erkek hastada izlemde poliüri ve polidipsi saptandi. idrar yogunlugu 1001, serum Na: 124 mEq/L, serum ve idrar osmolaritesi dü §ük bulunarak birincil polidipsi tanisi kondu. A §amali sivi kisitlamasi uygulanarak tedavi edildi. Bu olgu, birincil polidipsinin beslenme ali §kanliklarini degi §tirerek, beslenme bozukiugu ve geli §me geriligine yol açabileceginin vurgulanmasi amaciyla sunulmuçtur (Turk Ped Ar § 2013; 48:251-4) Anahtar sözcükler: Beslenme bozukiugu, birincil polidipsi, çocukiuk çagi Summary Primary polydipsia is a clinical status with excessive fluid consumption without any physiological need. A seventeen-month-old male infant with severe malnutrition and developmental retardation was found to have polyuria and polydipsia in the follow-up. The urine density was found to be 1001, Na was found to be 124 mEq/L and the serum and urine osmolarity was found to be low. The patient was diagnosed with primary polydipsia and was treated by gradually water restriction. This case is presented to emphasize that primary polydipsia changes nutritional habits which may lead to malnutrition and developmental retardation. (Turk Arch Ped20t3;