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- Eosinophilic Granulomatosis with Polyangiitis
- Diabetes Insipidus
- Methylprednisolone
- Secondary Hypophysitis
A 54-year-old man with a history of allergic rhinitis, chronic productive cough and shortness of breath presented with symptoms of ophthalmalgia, polydipsia, polyuria, ≥8 L daily urine output and 5 kg weight loss within 2 months. Physical examination revealed a haemorrhage under the sclera on the temporal side of the left eye (figure 1). The results of the fluid deprivation–vasopressin test showed central diabetes insipidus. Laboratory investigations showed circulating eosinophilia: 560×106/L (normal 50–300×106/L ), 5% (normal 0.5–5%); plasma antineutrophil cytoplasm antibodies (ANCA) …
Footnotes
Contributors YX, HS and CD carried out the diagnosis and treatment of the patient, analysed the data and wrote the paper. ZM participated in the diagnosis and treatment of the patient.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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