Natural history of idiopathic diabetes insipidus

Gail E. Richards, Michael J. Thomsett, Bruce A. Boston, Linda DiMeglio, Dorothy I. Shulman, Martin Draznin

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: To determine what percentage of diabetes insipidus (DI) in childhood is idiopathic and to assess the natural history of idiopathic DI. Study design: We conducted a retrospective chart review of 105 patients with DI who were born or had DI diagnosed between 1980-1989 at 3 medical centers. A second cohort of 30 patients from 6 medical centers in whom idiopathic DI was diagnosed after 1990 was evaluated retrospectively for subsequent etiologic diagnoses and additional hypothalamic/pituitary deficiencies and prospectively for quality of life. Results: In the first cohort, 11% of patients had idiopathic DI. In the second cohort, additional hypothalamic/pituitary hormone deficiencies developed in 33%, and 37% received an etiologic diagnosis for DI. Health-related quality of life for all the patients with idiopathic DI was comparable with the healthy reference population. Conclusions: Only a small percentage of patients with DI will remain idiopathic after first examination. Other hormone deficiencies will develop later in one-third of those patients, and slightly more than one-third of those patients will have an etiology for the DI diagnosed. Long-term surveillance is important because tumors have been diagnosed as long as 21 years after the onset of DI. Quality of life for these patients is as good as the reference population.

Original languageEnglish
Pages (from-to)566-570
Number of pages5
JournalJournal of Pediatrics
Volume159
Issue number4
DOIs
StatePublished - Oct 2011

Fingerprint

Diabetes Insipidus
Quality of Life
Hypothalamic Hormones
Pituitary Hormones
Population
Hormones

Keywords

  • DI
  • Diabetes insipidus
  • GH
  • Growth hormone

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Richards, G. E., Thomsett, M. J., Boston, B. A., DiMeglio, L., Shulman, D. I., & Draznin, M. (2011). Natural history of idiopathic diabetes insipidus. Journal of Pediatrics, 159(4), 566-570. https://doi.org/10.1016/j.jpeds.2011.03.044

Natural history of idiopathic diabetes insipidus. / Richards, Gail E.; Thomsett, Michael J.; Boston, Bruce A.; DiMeglio, Linda; Shulman, Dorothy I.; Draznin, Martin.

In: Journal of Pediatrics, Vol. 159, No. 4, 10.2011, p. 566-570.

Research output: Contribution to journalArticle

Richards, GE, Thomsett, MJ, Boston, BA, DiMeglio, L, Shulman, DI & Draznin, M 2011, 'Natural history of idiopathic diabetes insipidus', Journal of Pediatrics, vol. 159, no. 4, pp. 566-570. https://doi.org/10.1016/j.jpeds.2011.03.044
Richards GE, Thomsett MJ, Boston BA, DiMeglio L, Shulman DI, Draznin M. Natural history of idiopathic diabetes insipidus. Journal of Pediatrics. 2011 Oct;159(4):566-570. https://doi.org/10.1016/j.jpeds.2011.03.044
Richards, Gail E. ; Thomsett, Michael J. ; Boston, Bruce A. ; DiMeglio, Linda ; Shulman, Dorothy I. ; Draznin, Martin. / Natural history of idiopathic diabetes insipidus. In: Journal of Pediatrics. 2011 ; Vol. 159, No. 4. pp. 566-570.
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