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Psychogenic diabetes insipidus in toddlers with compulsive bottle-drinking: not a rare entity
Ayse Pinar Cemeroglu1, Atilla Büyükgebiz
1Department of Pediatric Endocrinology and Adolescence, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
Insights
Psychogenic diabetes insipidus, a condition causing excessive thirst and urination, is rarely diagnosed in toddlers. This report details three toddlers diagnosed with this condition, highlighting its occurrence in younger children.
Area of Science:
- Pediatric Endocrinology
- Nephrology
- Psychiatry
Background:
- Psychogenic polydipsia, leading to water intoxication, is a known cause of polyuria and polydipsia.
- While commonly observed in adolescents, psychogenic diabetes insipidus is infrequently reported in toddlers.
Observation:
- Three toddlers presented with compulsive drinking (polydipsia) and excessive urination (polyuria).
- These symptoms prompted a clinical evaluation to rule out other causes of polyuria.
Findings:
- Comprehensive laboratory investigations were performed.
- Water deprivation tests confirmed the diagnosis of psychogenic diabetes insipidus in all three toddlers.
- The findings suggest psychogenic diabetes insipidus can manifest in very young children.
Implications:
- This case series expands the known age range for psychogenic diabetes insipidus presentation.
- Early recognition and diagnosis in toddlers are crucial for appropriate management.
- Further research is needed to understand the underlying mechanisms and long-term outcomes of psychogenic diabetes insipidus in early childhood.
Abstract:
Psychogenic diabetes insipidus is commonly seen in adolescents but very rarely reported in toddlers. We report three toddlers who presented to our clinic with compulsive drinking behavior and polyuria. Laboratory work-up and water deprivation tests were consistent with psychogenic diabetes insipidus.