Case Reports in Endocrinology

Case Report

A Pregnant Woman with Excess Vasopressinase-Induced Diabetes Insipidus Complicated by Central Diabetes Insipidus like Lymphocytic Infundibulo-Neurohypophysitis

Table 1

Laboratory test results before and after delivery.
At 34 weeks and one day of gestationAt 34 weeks and five days of gestation (just before C.S.)At four weeks after delivery
Complete blood count
 White blood cell (×103/µL)6.4013.734.36
 Red blood cell (×106/µL)5.504.964.38
 Hemoglobin (g/dL)12.311.410.8
 Hematocrit (%)42.638.13.56
 Platelets (×103/µL)234124413
Biochemistry
 AST (IU/L)654414
 ALT (IU/L)55249
 γ-GTP (IU/L)493813
 LDH (IU/L)361489161
 T-Bil (mg/dL)0.30.40.4
 BUN (mg/dL)8.815.411.9
 Cre (mg/dL)1.061.450.61
 TP (g/dL)5.84.25.7
 Alb (g/dL)2.61.83.3
 Na (mEq/L)149140142
 Cl (mEq/L)112106107
 K (mEq/L)3.84.64.1
 Glucose (mg/dL)1037487
 Hemoglobin A1c (%)—6.55.0
 Plasma osmolality (mOsm/kgH2O)298—282
Urinalysis
 Specific gravity1.0051.0161.009
 Urinary osmolality (mOsm/kgH2O)78—376
 Urinary protein(−)(±)(−)
 Urinary glucose(−)(−)(−)
Hormones
 GH (ng/mL)18.84—0.18
 IGF-1 (ng/mL) (100–250)260.6—118.5
 ACTH (pg/mL)23.7—28.5
 Cortisol (µg/dL)15.8—7.82
 LH (mIU/mL)0.2—2.5
 FSH (mIU/mL)0.1—6.3
 PRL (ng/mL)——153.1 (lactation period)
 TSH (µIU/mL)0.65—0.70
 Free T3 (pg/mL)2.43—2.78
 Free T4 (ng/dL)0.95—0.87
 AVP (pg/mL)0.7—1.0
Others
 IgG (mg/dL)—444—
 IgA (mg/dL)—139—
 IgM (mg/dL)—153—
Antinuclear antibody—(−)—
Antimitochondrial antibody—(−)—
 IgM-HA antibody—(−)—
 HBs antigen—(−)—
 IgM-HBc antibody—(−)—
 HCV antibody—(−)—
 CMV-IgM—(−)—
 VCA-IgM—(−)—
 EBNA-IgG—(−)—
The range of reference values is indicated in the parentheses. ACTH, adrenocorticotropic hormone; Alb, albumin; ALT, alanine aminotransferase; AST, aspartate transaminase; AVP, arginine vasopressin; BUN, blood urea nitrogen; CMV, cytomegalovirus; Cre, creatinine; CS, cesarean section; EBNA, Epstein–Barr nuclear antigen; FSH, follicle stimulating hormone; γ-GTP, γ-glutamyl transpeptidase; GH, growth hormone; HA, hepatitis A virus; HB, hepatitis B virus; HCV, hepatitis C virus; IGF-1, insulin-like growth factor-1; Ig, immunoglobulin; LDH, lactate dehydrogenase; LH, luteinizing hormone; PRL, prolactin; T3, triiodothyronine; T4, thyroxine; T-Bil, total bilirubin; TP, total protein; TSH, thyroid stimulating hormone; VCA, virus capsid antigen.