Psikojenik Polidipsiye Bağlı Hiponatremi: Olgu Sunumu

Psikojenik polidipsi (PPD) poliüri ve polidipsi ile karakterize nadir görülen bir durumdur. Hiponatremi ile ilişkili polidipsi sıklıkla kronik psikoz hastalarında görülür. Biz bu makalede son dört gün içinde günlük 10 litreden daha fazla su içerek acil servise bilinç bozukluğu yakınmasıyla başvuran 62 yaşında erkek hastayı sunduk.

Psychogenic Polydipsia with Hyponatraemia: A Case Report

Psychogenic polydipsia (PPD) is a rare condition that is characterised by polyuria and polydipsia. Polydipsia with hyponatraemia commonly occurs in chronic psychosis patients. In this case report, we present a 62 year old male patient who was admitted with impaired consciousness. He had been drinking more than 10 litres of water per day for four days

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  • Dundas B, Harris M, Narasimhan M. Psychogenic polydipsia review: eti- ology, differential, and treatment. Curr Psychiatry Rep 2007; 9: 236-41. [Crossref]
  • Gaigalat TK, Bopp FT, Zinkler M. Fatal aspiration following polydipsia in schizophrenia. Psychiatr Prax 2011; 38: 352-4. [Crossref]
  • Siegel AJ. Hyponatremia in psychiatric patients: update on evaluation and management. Harv Rev Psychiatry 2008; 16: 13-24. [Crossref]
  • Verghese C, De Leon J, Josıassen RC. Problems and progress in the di- agnosis and treatment of polydipsia and hyponatremia. Schizophr Bull 1996; 22: 455-64. [Crossref]
  • Illowsky BP, Kirch DG. Polydipsia and hyponatremia in psychiatric pa- tients. Am J Psychiatry 1988; 145: 675-83.
  • Bremner AJ, Regan A. Intoxicated by water. Polydipsia and water intoxi- cation in a mental handicap hospital. Br J Psychiatry 1991; 158: 244-50. [Crossref]
  • Mercier-Guidez E, Verrier A, Smail A. Psychogenic Polydipsia. German Journal of Psychiatry 1999; 2: 4950.
  • Rao N, Venkatasubramanian G, Korpade V, Behere R, Varambally S, Gangadhar B. Risperidone treatment for polydipsia and hyponatremia in schizophrenia: a case report. Turk Psikiyatri Derg 2011; 22: 123-5.
  • Kohli A, Verma S Jr Ii, Sharma A Jr I. Psychogenic Polydipsia. Indian J Psychiatry 2011; 53: 166-7. [Crossref]
  • Singh S, Padi MH, Bullard H, Freeman H. Water intoxication in Psychiatric Patients. Br J Psychiatry 1985; 146: 127-31. [Crossref]
  • Özgün F, Ertemir M, Ceylan ME, Demir Ç. Stres ve Polidipsi. Klinik Psiko- farmakoloji Bülteni 2002; 12: 86-8.
  • Greendyke RM, Bernhardt AJ, Tasbas HE, Lewandowski KS. Polydipsia in chronic psychiatric patients: therapeutic trials of clonidine and enala- pril. Neuropsychopharmacology 1998; 18: 272-81. [Crossref]
  • Moritz ML, Ayus JC. The pathophysiology and treatment of hypona- tremic encephalopathy: An update. Nephrol Dial Transplant 2003; 18: 2486-91. [Crossref] 48