Psychogenic Adipsia Presenting as Recurrent Functional Vomiting and Hypernatremia.

Psychogenic Adipsia Presenting as Recurrent Functional Vomiting and Hypernatremia. J Am Osteopath Assoc. 2020 May 01;120(5):359-361 Authors: Desai PM, Mbachi C, Mathew M, Attar B, Mba B Abstract Hypernatremia is caused by a disproportionate balance of inadequate free water relative to sodium level. Frequent causes of hypernatremia include renal or gastrointestinal fluid loss, hypothalamic injury, and endocrine abnormalities. The authors describe a rare case of hypernatremia that manifested secondary to psychogenic adipsia in a 46-year-old woman presenting with intractable vomiting. Her presenting symptoms and laboratory abnormalities resolved after treatment was initiated for major depression. This case highlights the need for a holistic approach when confronted with a case of unexplained hypernatremia. PMID: 32337570 [PubMed - in process]
Source: Journal of the American Osteopathic Association - Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research