A Rare Case of Lithium-induced Partial Nephrogenic Diabetes Insipidus

Chronic lithium therapy in patients with bipolar disorder and other psychiatric illnesses can lead to a very common side effect of complete or partial nephrogenic diabetes insipidus. After confirmation of hypotonic polyuria, water deprivation test with desmopressin injection is used to make the diag...

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Published inCurēus (Palo Alto, CA) Vol. 12; no. 4
Main Authors Rauf, Abdul, Gul, Sawara, Nasir, Mohammad, Arif, Uroosa, Oyenuga, Mosunmoluwa
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 28.04.2020
Cureus
Subjects
Bipolar disorder
Case reports
Diabetes
Endocrinology/Diabetes/Metabolism
Hospitals
Influenza
Internal Medicine
Lithium
Nephrology
Patients
Polyuria
Sodium
Urine
Peshawar Pakistan
Pakistan
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Summary:Chronic lithium therapy in patients with bipolar disorder and other psychiatric illnesses can lead to a very common side effect of complete or partial nephrogenic diabetes insipidus. After confirmation of hypotonic polyuria, water deprivation test with desmopressin injection is used to make the diagnosis. Incomplete response to desmopressin suggests partial nephrogenic diabetes insipidus. We report a rare case of a 58-year-old patient who presented with hypernatremia and hypotonic polyuria secondary to chronic lithium therapy. She was diagnosed with partial nephrogenic diabetes insipidus secondary to chronic lithium therapy and was treated with amiloride resulting in improvement.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.7877