Psychogenic Adipsia Presenting as Recurrent Functional Vomiting and Hypernatremia.

Publication/Presentation Date

5-1-2020

Abstract

Hypernatremia is caused by a disproportionate balance of inadequate free water relative to sodium level. Frequent causes of hypernatremia include renal or gastrointestinal fluid loss, hypothalamic injury, and endocrine abnormalities. The authors describe a rare case of hypernatremia that manifested secondary to psychogenic adipsia in a 46-year-old woman presenting with intractable vomiting. Her presenting symptoms and laboratory abnormalities resolved after treatment was initiated for major depression. This case highlights the need for a holistic approach when confronted with a case of unexplained hypernatremia.

Volume

120

Issue

5

First Page

359

Last Page

361

ISSN

1945-1997

Disciplines

Medicine and Health Sciences

PubMedID

32337570

Department(s)

Fellows and Residents

Document Type

Article

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