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KMID : 0356620070220040272
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Journal of Korean Society of Endocrinology
2007 Volume.22 No. 4 p.272 ~ p.276
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A Case of Idiopathic Central Diabetes Insipidus together with Primary Empty Sella and Combined Pituitary Hormone Deficiency
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Ahn Sun-Young
Bae Gyu-Hwan
Kim Myung-Hwan
Lee Ji-Hyun
Sohn Ho-Sang
Jung Eui-Dal
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Abstract
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Central diabetes insipidus is a heterogeneous condition that is characterized by polyuria and polydipsia, and this is due to a deficiency of arginine vasopressin. Central diabetes insipidus is rare in children and young adults, and up to 50 percent of cases are idiopathic. Genetic abnormalities in the homeobox genes have recently been shown, on sellar magnetic resonance imaging, to be associated with combined pituitary hormone deficiency with pituitary defect. We report here on a 44-year-old female who suffered from polydipsia, polyuria and primary amenorrhea since childhood. She was diagnosed with idiopathic central diabetes insipidus together with primary empty sella and combined pituitary hormone deficiency. On the genetic analysis, she was proven to have a point mutation of the PROP-1 gene, which is known as a cause of combined pituitary hormone deficiency.
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KEYWORD
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Central diabetes insipidus, Combined pituitary hormone deficiency, Primary empty sella
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