For Debate: Personalized Health Care: As Exemplified by Home Sodium Measurements in a Child with Central Diabetes Insipidus and Impaired Thirst Perception.

4区医学 Q2 Medicine Pediatric endocrinology reviews : PER Pub Date : 2018-04-01 DOI:10.17458/per.vol15.2018.lho.fd.CentralDiabetesInsipidus

A A A van der Linde, A E van Herwaarden, J D Oosting, H L Claahsen-van der Grinten, E P L M de Grouw

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引用次数: 2

Abstract

Background: We describe a 6-year old boy with central diabetes insipidus (CDI) caused by destruction of the pituitary gland due to treatment of an optical pathway glioma. He has been treated with chemotherapy and has had several debulking operations over the past years and consequently developed central hypocortisolism, hypothyroidism and CDI. The treatment of CDI was gravely complicated by an impaired thirst perception and compulsive drinking behavior. He was frequently seen at the ER or admitted due to dysregulation of fluid balance.

Methods: In order to provide better self-reliance, home point of care testing (POCT) sodium measurement was introduced.

Results: Realizing POCT sodium measurement resulted in a significant decrease of ER visits and clinical admissions due to dysregulation of fluid balance.

Conclusion: This case is an example of personalized health care and has led to better self-reliance and quality of life.

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辩论:个性化医疗保健:以中枢性尿囊症和口渴感知受损儿童的家庭钠测量为例。

背景:我们描述了一个6岁的男孩患有中枢性尿崩症(CDI)，由于治疗视神经胶质瘤导致垂体破坏。在过去的几年里，他一直接受化疗，并进行了几次减体积手术，因此出现了中枢性皮质醇降低症、甲状腺功能减退症和CDI。CDI的治疗因口渴感知受损和强迫饮酒行为严重复杂化。由于体液平衡失调，他经常在急诊室就诊或住院。方法:采用家庭护理点试验(POCT)测定钠含量，提高患者的自理能力。结果:实现POCT钠测量可显著减少因体液平衡失调而导致的急诊就诊和临床入院。结论:该病例是个性化医疗保健的一个例子，并导致更好的自力更生和生活质量。

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Pediatric endocrinology reviews : PER Medicine-Endocrinology, Diabetes and Metabolism

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期刊介绍： PEDIATRIC ENDOCRINOLOGY REVIEWS (PER) publishes scholarly review articles in all areas of clinical and experimental Endocrinology, Diabetes, Nutrition and Metabolism. PER is intended for practicing pediatricians, pediatric endocrinologists, pediatric diabetologists, pediatric gastroenterologists, neonatologists, pediatric gynecologists, nutritionists, sport physicians and pediatricians-in-training. PER will also publish topics on specific subjects or as proceedings of scientific meetings in the above fields of interest. All articles, whether invited or direct contributions, are peer-reviewed. PER publishes correspondence, book reviews, a meeting calendar and meeting reports.

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