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Background: Diabetes insipidus is a rare disease which can be considered as a part of broad
spectrum of preeclampsia manifestations.
Case
presentation : A
39-year old primigravid woman, with an unremarkable past medical
history, was admitted in the 33rd week of gestation
for elevated blood pressure. On admission, her blood pressure was 140/90
mmHg and the only abnormal laboratory findings
were trace proteinuria and elevated liver enzymes. During the following days
her blood pressure rose to 150/100 mmHg
with deterioration of clinical and paraclinical status of the patient characterized
by excessive thirst, polydipsia and excretion of large amounts of diluted
urine. Having considered the patient's aggravating status, termination of
pregnancy was planned. Fortunately, all the clinical and paraclinical presentations,
including those related to the probable diabetes insipidus disappeared on the
second day of postpartum period.
Conclusion: Sign
and symptoms of diabetes insipidus should be considered in all cases admitted
for preeclampsia.
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