J Korean Soc Pediatr Nephrol.  2005 Oct;9(2):269-274.

A Case of Congenital Nephrogenic Diabetes Insipidus Diagnosed by DNA Analysis

Affiliations
  • 1Department of Pediatrics, College of Medicine Dongguk University, Kyongju, Korea. pedepi@medimail.co.kr
  • 2Department of Laboratory Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Nephrogenic diabetes insipidus(NDI) is characterized by an inability to concentrate urine despite normal or elevated plasma concentrations of the antidiuretic hormone; arginine vasopressin(AVP). Polyuria with hyposthenuria, and polydipsia are the cardinal clinical manifestations of the disease. Ninety percent of congenital nephrogenic diabetes insipidus patients are males with the X-linked recessive form of the disease; the mutation is in the AVP receptor 2 gene(AVPR2), which is located in chromosomal region Xq28. We report a case of NDI who suffered from unexplained fever and failure to thrive, which has been recognized since about 3 months after birth. His genomic DNA analysis identified a novel AVPR2 gene mutation as W200C.

Keyword

Nephrogenic diabetes insipidus; Mutation; V2 vasopressin receptor; Fever; Failure to thrive; Infancy

MeSH Terms

Arginine
Diabetes Insipidus, Nephrogenic*
DNA*
Failure to Thrive
Fever
Humans
Male
Parturition
Plasma
Polydipsia
Polyuria
Arginine
DNA
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