Public Health and Primary CareCASE REPORT

Psychogenic Adipsia Presenting as Recurrent Functional Vomiting and Hypernatremia

Parth Milan Desai, DO; Chimezie Mbachi, MD; Madhu Mathew, MD; Bashar Attar, MD; and Benjamin Mba, MD
Notes and Affiliations
Notes and Affiliations

Received: July 31, 2019

Accepted: August 21, 2019

Published: May 1, 2020

J Osteopath Med; 120(5): 359-361

Hypernatremia is caused by a disproportionate balance of inadequate free water relative to sodium level. Frequent causes of hypernatremia include renal or gastrointestinal fluid loss, hypothalamic injury, and endocrine abnormalities. The authors describe a rare case of hypernatremia that manifested secondary to psychogenic adipsia in a 46-year-old woman presenting with intractable vomiting. Her presenting symptoms and laboratory abnormalities resolved after treatment was initiated for major depression. This case highlights the need for a holistic approach when confronted with a case of unexplained hypernatremia.

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