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Am J Psychiatry 1975; 132:907-910
Copyright © 1975 by American Psychiatric Association


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Acute psychosis, increased water ingestion, and inappropriate antidiuretic hormone secretion

MA Raskind, H Orenstein and TG Christopher

The authors describe three postmenopausal women with agitated psychotic depression, increased water ingestion, and electrolyte values consistent with the syndrome of inappropriate antidiuretic hormone (ADH) secretion. They hypothesize that this clinical triad represents a syndrome reflecting underlying dysfunction of the hypothalamus and limbic system of the brain. The diagnosis of inappropriate ADH in one of the patients was directly confirmed by a recently developed serum radioimmunoassay.


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