Causes of reversible nephrogenic diabetes insipidus: a systematic review
Abstract
Background In nephrogenic diabetes insipidus (NDI), the kidney is unable to produce concentrated urine because of the insensitivity of the distal nephron to antidiuretic hormone (arginine vasopressin). In settings in which fluid intake cannot be maintained, this may result in severe dehydration and electrolyte imbalances. The risk for conversion of reversible to irreversible NDI seems to be a potential complication. This review summarizes the reversible causes of acquired NDI to facilitate earlier recognition and more effective treatment by clinicians. Methods Two reviewers independently searched MEDLINE, Experta Medica (EMBASE), and ISI bibliographic databases. Human studies that described NDI caused by drugs, substances, or metabolic disturbances were included. To evaluate the causal role of the risk factor, data were abstracted according to Koch's postulates. Results One hundred fifty-five studies published between 1957 and March 2004 described 30 risk factors. Of 155 studies, 58 studies provided a "definite" diagnosis of NDI; 83 studies, a "probable" diagnosis; and 14 studies, a "possible" diagnosis. Nine factors were considered "definite" causes of NDI; 15 factors, "probable" causes; and 6 factors, "possible" causes. The most reported risk factors were lithium (84 studies), antibiotics (16 studies), antifungals (11 studies), antineoplastic agents (9 studies), antivirals (8 studies), and metabolic disturbances (8 studies). Duration of NDI reversal, as well as conversion t…
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The local context, including prevalent knowledge, behaviours and attitudes towards mental health conditions, strongly predicts the success of implementing a clinical practice change.
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From The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness (2019) · cites this paper as [317]
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Sandhya, P. (2023) · Minerva Urology and Nephrology · doi:10.23736/s2724-6051.23.05231-x · Cited by 1 · see citing works
Partial nephrogenic diabetes insipidus associated with Castleman’s disease
Kim, M., Choi, H. S., Bae, E. H., Kwon, S., Kim, S. W., & Kim, C. S. (2019) · BMC Nephrology · doi:10.1186/s12882-019-1343-9 · Cited by 1 · see citing works
- Authors
- Garofeanu, C. G., Weir, M., Rosas-Arellano, M. P., Henson, G., Garg, A. X., & Clark, W. F.
- Affiliations
- Western University (CA)
- Corresponding author
- Clark, William F.
- Venue
- American Journal of Kidney Diseases
- Publisher
- Elsevier BV
- Published
- 2005-04
- Volume
- 45
- Issue
- 4
- Pages
- 626-637
- ISSN
- 0272-6386 (ISSN-L)
- OpenAlex
- W2013291814
- Cited by
- 128
- References
- 122
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 8 · 2019: 14 · 2018: 2 · 2017: 7 · 2016: 6 · 2015: 9 · 2014: 5 · 2013: 6 · 2012: 13
- FWCI
- 1.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Kidney Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Electrolyte and hormonal disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Keywords
- nephrogenic diabetes insipidus, lithium, vasopressin, risk factors, exposure duration, dehydration, electrolyte imbalance
- MeSH terms
- Anti-Infective Agents, Antineoplastic Agents, Cross-Sectional Studies, Humans, Hypercalcemia, Kidney, Lithium, Metabolic Diseases, Risk Factors, Cohort Studies, Diabetes Insipidus, Nephrogenic
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