J Korean Rheum Assoc.
2002 Sep;9(3):220-224.
A Case of Central Diabetes Insipidus in a Patient with Systemic Lupus Erythematosus
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Inje University, Sanggye Paik Hospital, Seoul, Korea. shhan@sanggyepaik.or.kr
- 2Department of Internal Medicine, College of Medicine, Inje University, Seoul Paik Hospital, Seoul, Korea.
- 3Department of Internal Medicine, College of Medicine, Inje University, Ilsan Paik Hospital, Koyang, Kunggi, Korea.
Abstract
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Central diabetes insipidus is caused by the insufficient secretion of vasopressin and has been reported in great variety of disorder of brain tumor, systemic infiltrative disease such as histiocytosis, amyoidosis and vasculitis, leukemia, and other autoimmune diseases. But there has been reported only 3 cases of systemic lupus erythematosus (SLE) associated with central diabetes insipidus. The exact pathophysiologic process of pituitary gland involvement in SLE has been unknown, although there are some evidence that vascular impairment and autoantibodies to pituitary gland may be contributory factors. Here, we report a case of central diabetes insipidus complicated by neuropsychiatric systemic lupus erythematosus.