Psychogenic polydipsia
Summary
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presence of risk factors
- water-seeking and drinking
Otros factores de diagnóstico
- agitation
- polyuria
- headache
- nausea or vomiting
- lethargy or confusion
- seizures, delirium, or coma
Factores de riesgo
- psychiatric disorders
- neurodevelopmental disorders
- smoking
- alcohol abuse
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- plasma osmolality
- urine osmolality
- urine sodium
- serum sodium
- 24-hour urine volume
- urinalysis
- serum urea
- water restriction test
Pruebas diagnósticas que deben considerarse
- vasopressin test
- plasma antidiuretic hormone
Algoritmo de tratamiento
severe hyponatraemia (<125 mmol/L [<125 mEq/L]) or with neurological symptoms
hyponatraemia (125-130 mmol/L [125-130 mEq/L]) or with GI symptoms
chronic polydipsia
Colaboradores
Autores
Shilpa Srinivasan, MD, DFAPA, DFAAGP
Vice Chair, Medical Staff Affairs, Behavioral Health Midlands, Prisma Health
Professor of Clinical Psychiatry
Program Director: Geriatric Psychiatry Fellowship
Director: Psychiatry Acting Internship and M4 Clerkship
Department of Neuropsychiatry and Behavioral Science
Prisma Health - University of South Carolina School of Medicine Columbia
Columbia
SC
Divulgaciones
SS is a board member of the American Association for Geriatric Psychiatry and serves on the Geriatric Psychiatry Exam Committee for the American Board of Psychiatry and Neurology.
Meera Narasimhan, MD, DFAPA
Professor and Chair
Department of Neuropsychiatry and Behavioral Science
Senior Medical Director
Prisma Health
Special Advisor to University of South Carolina President
Health Innovations and Economic Development
University of South Carolina School of Medicine Columbia
Columbia
SC
Divulgaciones
MN is a member of an advisory board for Alkermes.
Agradecimientos
Dr Shilpa Srinivasan and Dr Meera Narasimhan would like to gratefully acknowledge Dr Emily Williams and Dr Brian Dundas, previous contributors to this topic.
Divulgaciones
EW declares that she has no competing interests. BD is an author of one of the references for this topic.
Revisores por pares
Branimir Margetić, MD
Neuropsychiatric Hospital "Dr Ivan Barbot"
Popovaca
Croatia
Divulgaciones
BM is an author of a reference cited in this topic.
Aaron Pinkhasov, MD, DFAPA, FACLP
Chairman
Department Of Psychiatry
NYU Langone Hospital
Professor of Psychiatry and Medicine
NYU Long Island School of Medicine
Long Island
NY
Divulgaciones
AP declares that he has no competing interests.
Richard C Millson, MD, DTM&H, FRCPC
Associate Professor of Psychiatry
Queen's University
Kingston
Ontario
Canada
Divulgaciones
RCM declares that he has no competing interests. He is the author of some of the references cited in this topic.
Agradecimiento de los revisores por pares
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Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Ahmadi L, Goldman MB. Primary polydipsia: update. Best Pract Res Clin Endocrinol Metab. 2020 Sep;34(5):101469.Texto completo Resumen
Sterns RH. Disorders of plasma sodium - causes, consequences, and correction. N Engl J Med. 2015 Jan 1;372(1):55-65. Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
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