Case 634 -- A 7-year-old boy with polyuria, polydipsia, and enuresis

Contributed by Zaibo Li, MD and Jeffery Kant, MD, PhD


CLINICAL HISTORY:

The patient is 7-year-old Caucasian male with polyuria, polydipsia, and enuresis for two months. He also has occasional headaches and blurred vision recently, but he has good energy level and good appetite with no heat or cold intolerance.

Perinatal History:

Past Medical History:

He was diagnosis of ADHD in Kindergarten, which was well controlled on medication of Metadate. He also had sports-related trauma and fractures in the past, congenital malformation of his right ear: detached ear lobe, with normal hearing.

Family History:

Physical Examination:

Laboratory Results:

  1. Fasting glucose level:

    Impression: Mild Hyperglycemia

  2. Oral Glucose Tolerance Test/HbA1C:

    Interpretation: High range normal

    Interpretation: Borderline elevated

  3. Other Laboratory Testing:

  4. Genetic Testing results:

FINAL DIAGNOSIS


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