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February 1976, Vol 130, No. 2 >
Article | February 1976

Hysterical Polydipsia (Compulsive Water Drinking) in Children FREE

Barry Kohn, MD; Michael E. Norman, MD; Harvey Feldman, MD; Samuel O. Thier, MD; Irwin Singer, MD
[+] Author Affiliations

Received for publication Nov 1, 1974; accepted Feb 17, 1975.

No reprints available.


Am J Dis Child. 1976;130(2):210-212. doi:10.1001/archpedi.1976.02120030100020.
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• Two patients had entirely different clinical presentations of hysterical polydipsia: convulsions and coma in a 5-yearold boy with intrinsic renal disease and a single kidney, and abnormal behavior in a 3-year-old girl with normal kidneys. In neither case was the correct diagnosis made on initial evaluation. Physiological studies demonstrated primary polydipsia to be responsible for both clinical presentations. The differential diagnosis of polydipsia and polyuria is reviewed, and the nonuniform presentation of hysterical polydipsia is emphasized. In children with intrinsic renal disease, hysterical polydipsia may be life-threatening.

(Am J Dis Child 130:210-212, 1976)

REFERENCES

1 +
Dugan S, Holliday MA:  Water intoxication after voluntary fluid ingestion . Pediatrics 39:418, 1967;.
2 +
Stevko RM, Balsley M, Segar WE:  Primary polydipsia—compulsive water drinking . J Pediatr 73:845-851, 1968;.
3 +
Pickering LK, Hogan GR:  Voluntary water intoxication in a normal child . J Pediatr 78:316-318, 1971;.
4 +
Crumpacker RW, Kriel RL:  Voluntary water intoxication in normal infants . Neurology 23:1251, 1973;.
5 +
Linshaw MA, Hipp T, Gruskin A:  Infantile psychogenic water drinking . J Pediatr 85:520-522, 1974;.
6 +
Edelmann CM Jr, Barnett HL, Stark H, et al:  A standardized test of renal concentrating capacity in children . Am J Dis Child 114:639-644, 1967;.
7 +
Harrington AR, Valtin H:  Impaired urinary concentration after vasopressin and its gradual correction in hypothalamic diabetes insipidus . J Clin Invest 47:502-510, 1968;.
8 +
Holliday MA, Egan TJ, Morris CR, et al:  Pitressin-resistant hyposthenuria in chronic renal disease . Am J Med 42:378-387, 1967;.
9 +
Ames RG:  Urinary water excretion and neurohypophysical function in full term and premature infants shortly after birth . Pediatrics 12:272, 1953;.
10 +
Swanson GA, Iseri OA:  Acute encephalopathy due to water intoxication . N Engl J Med 258:831-834, 1958;.
11 +
Langgard H, Smith WO:  Self-induced water intoxication without predisposing illness . N Engl J Med 266:378-381, 1962;.
12 +
Murphy FJ, Zelman S:  Water metabolism and the psychiatric patient . J Urol 92:60-63, 1964;.
13 +
Bewley TH:  Acute water intoxication from compulsive water drinking . Br Med J 2:864, 1964;.
14 +
Resnick ME, Patterson C:  Coma and convulsions due to compulsive water drinking . Neurology 19:1125-1126, 1969;.
15 +
Nickman SL, Buckler JMU, Weiner LB:  Further experiences with water intoxication . Pediatrics 41:149-151, 1968;.

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References

1 +
Dugan S, Holliday MA:  Water intoxication after voluntary fluid ingestion . Pediatrics 39:418, 1967;.
2 +
Stevko RM, Balsley M, Segar WE:  Primary polydipsia—compulsive water drinking . J Pediatr 73:845-851, 1968;.
3 +
Pickering LK, Hogan GR:  Voluntary water intoxication in a normal child . J Pediatr 78:316-318, 1971;.
4 +
Crumpacker RW, Kriel RL:  Voluntary water intoxication in normal infants . Neurology 23:1251, 1973;.
5 +
Linshaw MA, Hipp T, Gruskin A:  Infantile psychogenic water drinking . J Pediatr 85:520-522, 1974;.
6 +
Edelmann CM Jr, Barnett HL, Stark H, et al:  A standardized test of renal concentrating capacity in children . Am J Dis Child 114:639-644, 1967;.
7 +
Harrington AR, Valtin H:  Impaired urinary concentration after vasopressin and its gradual correction in hypothalamic diabetes insipidus . J Clin Invest 47:502-510, 1968;.
8 +
Holliday MA, Egan TJ, Morris CR, et al:  Pitressin-resistant hyposthenuria in chronic renal disease . Am J Med 42:378-387, 1967;.
9 +
Ames RG:  Urinary water excretion and neurohypophysical function in full term and premature infants shortly after birth . Pediatrics 12:272, 1953;.
10 +
Swanson GA, Iseri OA:  Acute encephalopathy due to water intoxication . N Engl J Med 258:831-834, 1958;.
11 +
Langgard H, Smith WO:  Self-induced water intoxication without predisposing illness . N Engl J Med 266:378-381, 1962;.
12 +
Murphy FJ, Zelman S:  Water metabolism and the psychiatric patient . J Urol 92:60-63, 1964;.
13 +
Bewley TH:  Acute water intoxication from compulsive water drinking . Br Med J 2:864, 1964;.
14 +
Resnick ME, Patterson C:  Coma and convulsions due to compulsive water drinking . Neurology 19:1125-1126, 1969;.
15 +
Nickman SL, Buckler JMU, Weiner LB:  Further experiences with water intoxication . Pediatrics 41:149-151, 1968;.

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