A Case of Diabetes Insipidus with Langerhans Cell Histiocytosis in Adult.

Chung, Jae Hoon; Kim, Kwang Won; Ahn, Kyu Jeung; Min, Yong Ki; Lee, Myung Shik; Lee, Moon Kyu; Koh, Eun Mi; Kim, Choon Kwan; Jung, Mann Pyo

Case Report

Journal of Korean Endocrine Society 1996;11(3):330-335.
Published online November 7, 2019.

A Case of Diabetes Insipidus with Langerhans Cell Histiocytosis in Adult.

Jae Hoon Chung, Kwang Won Kim, Kyu Jeung Ahn, Yong Ki Min, Myung Shik Lee, Moon Kyu Lee, Eun Mi Koh, Choon Kwan Kim, Mann Pyo Jung

Abstract

In Langerhans cell histiocytosis, diabetes insipidus is the most common endocrinologic complication. We experienced a case of Langerhans cell histiocytosis, involving pituitary stalk and lung. The patient was a 43 year old male with complaint of polyuria and polydipsia. The water deprivation test was carried out to confirm the diagnosis of diabetes insipidus. We found multiple small cysts and nodules in HRCT of lung, and diagnosed Langerhans cell histiocytosis by transbronchial lung biopsy, The patient was managed conservatively with DDAVP nasal spray. The polyuria,polydipsia was relieved completely. After that, we follow up and observe closely the patients lung and pituitary lesion.

Key Words: Langerhans cell histiocytosis, diabetes insipidus