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Neurohypophyseal diabetes insipidus is a condition that disrupts the body's ability to regulate water. Typically, fluid intake and urine output are balanced. However, individuals with this condition experience excessive urine production (polyuria), leading to extreme thirst (polydipsia). This frequent urination can significantly interfere with daily life and sleep patterns.
Individuals with neurohypophyseal diabetes insipidus are at risk of rapid dehydration if their fluid intake is insufficient. Dehydration can manifest as constipation and dry skin. Untreated, the condition can progress to more severe dehydration-related complications, including confusion, low blood pressure, seizures, and even coma.
Neurohypophyseal diabetes insipidus can arise in two ways: acquired or familial. The acquired form can develop at any point in life due to factors like injuries or tumors. The familial form results from genetic changes and typically presents symptoms in childhood, which tend to worsen over time.
It is important to distinguish neurohypophyseal diabetes insipidus from the more common diabetes mellitus. Diabetes mellitus involves elevated blood sugar (glucose) levels due to a deficiency in or resistance to the hormone insulin. While these two conditions share some similarities, they are distinct disorders with different underlying causes.
Familial neurohypophyseal diabetes insipidus most commonly follows an autosomal dominant inheritance pattern. This means that only one copy of a mutated AVP gene in each cell is enough to cause the condition. In rare instances, it can be inherited in an autosomal recessive pattern. This requires both copies of the gene in each cell to carry mutations. In this case, both parents of an affected individual carry one copy of the mutated gene, although they usually do not display any symptoms of the condition themselves.
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