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Accidental ketosis-induced polyuria in a toddler: a case report
Anthony Cioci1, Chad Rudnick2,3, Levonti Ohanisian1
1Charles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Road BC-71, Boca Raton, FL, 33431, USA.
BMC Pediatrics
|November 1, 2019
Summary
Parental concern for increased urination in children can stem from ketosis induced by very low-carbohydrate diets. Adjusting carbohydrate intake resolved symptoms in a young child, highlighting diet's impact.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Clinical Case Studies
Background:
- Parental concerns regarding frequent or large-volume urination in young children are common.
- Polyuria in pediatric patients necessitates a thorough differential diagnosis.
Observation:
- A 2-year-old boy presented with increased urine volume attributed to a very low-carbohydrate diet.
- Initial assessment revealed ketonuria and proteinuria, with normal blood glucose.
- The child's diet was significantly restricted in carbohydrates, resembling a paleo-type eating pattern.
Findings:
- A preliminary diagnosis of ketosis-induced polyuria was established based on clinical presentation and laboratory findings.
- Dietary modification, increasing carbohydrate intake, led to the resolution of polyuria, ketonuria, and proteinuria.
- This case underscores the link between ketogenic diets and polyuria in children.
Implications:
- Fad diets, particularly those low in carbohydrates, can have unintended consequences in pediatric populations.
- Clinicians should consider dietary history, including fad diets, in the evaluation of pediatric polyuria.
- Educating parents on appropriate nutrition for children is crucial to prevent adverse health outcomes.
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