DIABETES INSIPIDUS:
There is disturbance in renal
concentrating mechanism, resulting in polyuria nad inability to produce
hypertonic urine. DI is due to absence of an ADH effect, either because of
impaired or failed secretion (cranial or central DI) or lack of end organ
response to ADH (nephrogenic DI). Most of the inherited nephrogenic DI have
mutation in ADH V2 receptor, there is also down regulation of AQP2
in acquired forms of DI.
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