problendoПроблемы ЭндокринологииProblems of Endocrinology0375-96602308-1430Endocrinology Research Centre10.14341/probl13103problendo-13103Research ArticleКлиническая эндокринологияClinical endocrinologyДиагностика и тактика ведения пациента с центральным несахарным диабетом на примере клинического случаяDiagnosis and tactics of managing a patient with central diabetes insipidus on the example of a clinical casehttps://orcid.org/0000-0003-2094-8731КатамадзеН. Н.KatamadzeN. N.

Катамадзе Нино Николаевна.

117036, Москва, ул. Дмитрия Ульянова, д. 11, к. 2.

SPIN-код: 6755-9320

Nino N. Katamadze.

Dmitry Ulyanova street 11 bld 2, 117036 Moscow.

SPIN-код: 6755-9320

nincho.1994@mail.ruhttps://orcid.org/0000-0001-6539-466XПигароваЕ. А.PigarovaE. A.

Пигарова Екатерина Александровна - доктор медицинских наук.

Москва.

SPIN-код: 6912-6331

Ekaterina A. Pigarova - MD, PhD.

Moscow.

SPIN-код: 6912-6331

kpigarova@gmail.comhttps://orcid.org/0000-0002-0327-4619ДзерановаЛ. К.DzeranovaL. K.

Дзеранова Лариса Константиновна – доктор медицинских наук.

Москва.

SPIN-код: 2958-5555

Larisa K. Dzeranova.

Moscow.

SPIN-код: 2958-5555

dzeranovalk@yandex.ruНациональный медицинский исследовательский центр эндокринологииРоссияEndocrinology Research CentreRussian Federation2022200720226853944Copyright © Катамадзе Н.Н., Пигарова Е.А., Дзеранова Л.К., 20222022Катамадзе Н.Н., Пигарова Е.А., Дзеранова Л.К.Katamadze N.N., Pigarova E.A., Dzeranova L.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.probl-endojournals.ru/jour/article/view/13103

Диагностика и дифференциальная диагностика пациентов с несахарным диабетом нередко представляют собой сложную задачу для врачей различных специальностей. Данный клинический случай посвящен описанию пациента с длительным анамнезом идиопатического несахарного диабета центрального генеза, у которого резко снизилась потребность в десмопрессине за последний год наблюдения. Проведение проб с осмотической стимуляцией (тест с водной депривацией, инфузионная проба с гипертоническим раствором) позволило ответить на вопрос о сохранении заболевания, а также определить дальнейший план ведения с учетом физиологических особенностей.

Diagnosis and differential diagnosis of patients with diabetes insipidus is often a difficult task for the endocrinologist. This case report focuses on a patient with a long history of central idiopathic diabetes insipidus who had a substantial decrease in desmopressin requirements during the last year of follow-up. Conducting tests with osmotic stimulation (test with water deprivation, infusion test with hypertonic solution) made it possible to answer the question of the persistence of the disease, as well as to determine a further management plan, taking into account the physiological characteristics of our patient.

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The authors declare that there are no conflicts of interest present.