Gürses ŞAHİN, Gülseren ŞAHİN EVİRGEN, Nilgün ÇAYLAN DEMİRLİ, Esma AÇOĞLU ALTINEL, Şit UÇAR, Pelin ZORLU

Ağır beslenme bozukluğu ile başvuran birincil polidipsi olgusu

Birincil polidipsi, fizyolojik gereksinim olmadan aşırı sıvı tüketimiyle giden bir klinik durumdur. Ağır beslenme bozukluğu, gelişme geriliği olan 17 aylık erkek hastada izlemde poliüri ve polidipsi saptandı. İdrar yoğunluğu 1001, serum Na: 124 mEq/L, serum ve idrar osmolaritesi düşük bulunarak birincil polidipsi tanısı kondu. Aşamalı sıvı kısıtlaması uygulanarak tedavi edildi. Bu olgu, birincil polidipsinin beslenme alışkanlıklarını değiştirerek, beslenme bozukluğu ve gelişme geriliğine yol açabileceğinin vurgulanması amacıyla sunulmuştur. . (Türk Ped Arfl 2013; 48: 251-4)

Primary polydipsia case presenting with severe malnutrition

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 Ped 2013; 48: 251-4)

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