La diabetes insípida nefrogénica es causada por la resistencia parcial o total al efecto de la AVP. La diabetes insípida nefrogénica congénita es una alteración. Nephrogenic diabetes insipidus (NDI) is characterized by inability to concentrate the urine, which results in polyuria (excessive urine.

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GeneReviews Advanced Search Help. However, hypokalemia produced by hydrochlorothiazide could compromise the capacity of urinary concentration of the patients with nephrogenic diabetes insipidus. When thiazide diuretic therapy is initiated, a transient increase in urine output may occur as insipiva result of salt diuresis.

Also observed are vomiting, constipation and lack of weight or height gain due to decreased ingestion of nutrients as a result of the polydipsia. Patients should address specific medical concerns with their physicians. GeneReviews is not responsible for the information provided by other organizations.

While many adult cases in the medical literature are associated with mental insiipda, most patients with habit polydipsia have no other detectable disease.

Genetic counseling is the process of providing individuals and nefrogenkca with information on the nature, inheritance, and implications of genetic disorders to help them make informed medical diabetes nefrogeniva nefrogenica personal decisions.

University of Washington, Seattle ; Its synthesis is accompanied by the generation of a specific carrier protein called neurophysin II. Acquired nephrogenic diabetes insipidus nefrogfnica much more common than the hereditary form of NDI, is usually less severe, and is associated with downregulation of AQP2. Page Contents Page Contents Support Center Support Center.

In individuals with NDI, an IV must iinsipida provided from the beginning of NPO status and the person’s oral intake of water for that period, which is typically much larger than that of an individual who does not have NDI, should be given intravenously as 2. Management is usually best accomplished by a team consisting of a nutritionist, a pediatric or adult nephrologist or endocrinologist, and nerogenica clinical geneticist.


Affected untreated infants usually have poor feeding and failure to thrive, and rapid onset of severe dehydration with illness, hot environment, or the withholding of water. See Management, Evaluation of Relatives at Risk for information on evaluating at-risk relatives for the purpose of early diagnosis and treatment.

Nephrogenic diabetes insipidus

nefrogsnica In this manner, clinical scenarios of nephrogenic diabetes insipidus have been described in patients with juvenile nephronophtisis before the development of chronic renal failurein patients with polycystic kidney disease, distal renal tubular acidosis, Fanconi syndrome, idiopathic hypercalciuria and renal amyloidosis.

Upon dissociation of AQP2 from its receptor, this process is rapidly reversed. This may exacerbate hypernatremia. Asymptomatic female family members of a male with X-linked NDI who are at risk of being a carrier of the pathogenic variant may undergo genetic counseling and genetic testing when they are of reproductive age.

Water intake must not be nefroyenica. Secondary nephrogenic diabetes insipidus. Increase of serum concentrations of sodium, chloride and urea can be seen in the blood due to the negative balance of water and a tendency to serum hyperosmolality. Since these diuretics cause potassium wasting, serum potassium concentration should be monitored and supplemental potassium provided in the diet or pharmacologically diabetfs needed.

Based on more in-depth mechanistic understanding, new therapeutic strategies are current being explored.

Nephrogenic diabetes insipidus NDI. Recently, two other pathogenic variants p. Although access to this website is not restricted, the information found here is intended for use by medical providers. Appropriate polarization following pharmacological rescue of V2 vasopressin receptors encoded by X-linked nephrogenic diabetes insipidus alleles involves a conformation of the receptor that also attains mature glycosylation.


Prenatal diagnosis and preimplantation genetic diagnosis PGD for at-risk pregnancies require prior identification of the pathogenic variants in the family.

J Am Soc Nephrol. Because it is likely that testing methodology and our understanding of genes, allelic variants, and diseases will improve in the future, consideration should be given to banking DNA of affected individuals. Plasma levels of AVP. Am J Hum Genet. Prenatal testing is possible for at-risk pregnancies if the disease-causing pathogenic variant s in the family have been identified.

MedGen Related information in MedGen. Prevalence The exact prevalence of NDI is not known but it is assumed to be rare. Causes of reversible nephrogenic diabetes insipidus: Interstitial nephritis Pyelonephritis Balkan endemic nephropathy. Introduction Diabetes insipidus is a disease characterized by the elimination of high volumes of very dilute urine.


The proportion of cases caused by de novo pathogenic variants is unknown. Bladder function impairment in aquaporin-2 defective nephrogenic diabetes insipidus.

CASR Familial hypocalciuric hypercalcemia. SRJ is a prestige metric based on the idea that not all citations are the same.

The major causes of acquired NDI that produce clinical symptoms e.