Diagnosis and management of diabetes insipidus during pregnancy.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
J A Durr, M D Lindheimer

Abstract

To provide an overview of diagnostic and treatment strategies in pregnant patients with diabetes insipidus (DI). We review the changes in osmoregulation during normal pregnancy, characterize the various types of DI that can occur during pregnancy, and discuss the recommended management. The incidence of DI is 2 to 4 cases per 100,000 gestations. Central DI can precede pregnancy or manifest initially during gestation. With preexistent central DI, pregnancy usually aggravates the disorder, and the requirements for antidiuretic hormone (ADH) usually increase. Such an effect is less likely to be noted in ADH-independent nephrogenic forms of DI. Currently, the major type of DI associated with pregnancy is a transient syndrome that is resistant to arginine vasopressin (AVP) but responsive to desmopressin (dDAVP); such cases of DI are often associated with liver abnormalities or preeclampsia. This syndrome is explained by excess vasopressinase, a placental enzyme which degrades AVP but not dDAVP. A transient recurrent type of DI can occur during gestation in patients with limited ADH-secreting capacity and is responsive to both AVP and dDAVP. Latent central DI manifesting after complicated delivery and transient nephrogenic DI, resist...Continue Reading

References

Dec 1, 1979·Kidney International·J W RoweG L Robertson
Jun 1, 1978·Obstetrical & Gynecological Survey·M C Hime, J A Richardson
Feb 1, 1975·American Journal of Obstetrics and Gynecology·A A RosenbloomD A Fisher
Feb 21, 1991·The New England Journal of Medicine·Y IwasakiA Tomita
Feb 1, 1991·American Journal of Obstetrics and Gynecology·A RazielY Gilboa
Apr 1, 1989·The Journal of Clinical Investigation·J M DavisonM D Lindheimer
Mar 1, 1989·The Journal of Clinical Endocrinology and Metabolism·Y IwasakiA Tomita
Apr 1, 1986·European Journal of Clinical Investigation·J BernheimM Rathaus
Sep 1, 1988·Annals of Internal Medicine·S V Shah, V Thakur
Apr 1, 1987·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M D LindheimerJ M Davison
Apr 1, 1987·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·J A Dürr
Apr 23, 1987·The New England Journal of Medicine·J A DurrR W Schrier
Apr 1, 1987·Southern Medical Journal·V L Katz, W A Bowes
Jun 1, 1987·Southern Medical Journal·M P Diamond, D M Shah
Feb 1, 1987·British Journal of Obstetrics and Gynaecology·H CammuJ J Amy
Jan 1, 1985·American Journal of Nephrology·S M KorbetE J Lewis
Aug 18, 1973·British Medical Journal·C R EdwardsG M Besser
Apr 3, 1969·The New England Journal of Medicine·H H Bode, J D Crawford
Oct 14, 1972·British Medical Journal·D Oravec, B Lichardus
Dec 15, 1970·American Journal of Obstetrics and Gynecology·P N Burstein, C M Chen
Jan 1, 1980·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·E ShalevH Zuckerman
Sep 8, 1984·British Medical Journal·F Bakiri, M Benmiloud
Aug 15, 1984·American Journal of Obstetrics and Gynecology·H GoodmanT Moore
Mar 1, 1984·The Journal of Clinical Endocrinology and Metabolism·F BakiriM B Vallotton
Feb 16, 1984·The New England Journal of Medicine·W M BarronM D Lindheimer
Jan 1, 1982·Annals of the New York Academy of Sciences·J A DürrM D Lindheimer
May 2, 1980·JAMA : the Journal of the American Medical Association·J W Campbell
Feb 1, 1995·European Journal of Endocrinology·M D Lindheimer, J M Davison
Feb 1, 1995·European Journal of Endocrinology·B A KällénB K Bengtsson
Nov 1, 1994·American Journal of Obstetrics and Gynecology·I M UstaB M Sibai
May 1, 1994·British Journal of Obstetrics and Gynaecology·S KennedyW M Hague
Jun 1, 1993·Clinical Endocrinology·D J WilliamsJ P Monson
Jul 22, 1993·Annals of the New York Academy of Sciences·A M Moses, S J Scheinman
Nov 24, 1956·Lancet·C CARTER, M SIMPKISS
Jul 1, 1956·Quarterly Journal of Experimental Physiology and Cognate Medical Sciences·R W HAWKER
Mar 1, 1959·The Journal of Clinical Endocrinology and Metabolism·J M EGLIN, A G JESSIMAN
Jul 1, 1959·The Journal of Clinical Endocrinology and Metabolism·R L SCHEERC W LLOYD
May 1, 1961·American Journal of Obstetrics and Gynecology·J C WARREN, R S JERNSTROM
May 15, 1962·American Journal of Obstetrics and Gynecology·K ROTH, S SLATER
Jul 1, 1947·Annals of Internal Medicine·R H WILLIAMS, C HENRY

❮ Previous
Next ❯

Citations

May 10, 2016·Best Practice & Research. Clinical Endocrinology & Metabolism·Sonia Ananthakrishnan
Feb 6, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·M De MesmayI Constant
May 14, 2016·Annales d'endocrinologie·Philippe Chanson, Sylvie Salenave
Feb 1, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·K E HoskinsP S Ramsey
Jun 1, 2018·Endocrinology, Diabetes & Metabolism Case Reports·Natassia Rodrigo, Samantha Hocking
May 21, 2009·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Sonia Ananthakrishnan
Dec 11, 2019·Journal of Clinical Medicine·Krystallenia I Alexandraki, AshleyB Grossman
Feb 9, 2013·The Journal of Clinical Endocrinology and Metabolism·Amisha WalliaPeter Kopp
Nov 5, 2016·The Journal of Clinical Endocrinology and Metabolism·Maria FleseriuMary H Samuels
Aug 10, 2019·Nature Reviews. Disease Primers·Mirjam Christ-CrainAlan S Verkman
Jul 14, 2020·Internal Medicine Journal·Lisa K Bichard, David J Torpy
Jul 26, 2013·Obstetrics and Gynecology·Joan T Price, Nadav Schwartz

❮ Previous
Next ❯

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Biulleten' eksperimental'noĭ biologii i meditsiny
N S SapronovA B Siniukhin
Baillière's Clinical Obstetrics and Gynaecology
J C Atherton, R Green
© 2022 Meta ULC. All rights reserved