Spontaneous Remission of Diabetes Insipidus Due to CNS Sarcoidosis

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Author(s)

    • Inaba Hidefumi
    • Department of Aging Medicine and Geriatrics, Shinshu University, Graduate School of Medicine
    • Suzuki Satoru
    • Department of Aging Medicine and Geriatrics, Shinshu University, Graduate School of Medicine
    • Shigematsu Satoshi
    • Department of Aging Medicine and Geriatrics, Shinshu University, Graduate School of Medicine
    • Kobayashi Satoshi
    • Department of Aging Medicine and Geriatrics, Shinshu University, Graduate School of Medicine
    • Nishio Shin-ichi
    • Department of Aging Medicine and Geriatrics, Shinshu University, Graduate School of Medicine
    • Hashizume Kiyoshi
    • Department of Aging Medicine and Geriatrics, Shinshu University, Graduate School of Medicine

Abstract

Central nervous system (CNS) sarcoidosis is a crucial disease and has a poor prognosis. A 58-year-old woman had acute development of polydipsia and polyuria. Her pituitary MRI demonstrated a swelling of pituitary gland and hypophyseal stalk. She was diagnosed as central diabetes insipidus (CDI) due to CNS sarcoidosis based on the examinations and pituitary MRI findings as well as a result of cutaneous biopsy. Uveitis and bilateral hilar lymphadenopathy were observed mildly throughout. However, CDI and pituitary MRI findings were getting recovered spontaneously without steroid treatment in a couple of months, suggesting an atypical clinical course of CNS sarcoidosis.<br>

Journal

  • Internal Medicine

    Internal Medicine 48(4), 225-229, 2009

    The Japanese Society of Internal Medicine

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