Diabetes insipidus secondary to Wegener's granulomatosis: report and review of the literature

J Rheumatol. 1991 May;18(5):761-5.


We describe a 51-year-old woman with Wegener's granulomatosis who developed diabetes insipidus 7 months after the onset of her granulomatous disease and despite apparently good clinical response to prednisone and trimethoprim-sulphametoxazole treatment. A brain computerized tomographic scan taken soon after the onset of polyuria disclosed an enlarged pituitary gland that completely returned to its normal size after 5 months of cyclophosphamide therapy. We review 6 other published cases of diabetes insipidus secondary to Wegener's granulomatosis and discuss the potential pathogenetic mechanisms of this rare combination.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Diabetes Insipidus / etiology*
  • Diabetes Insipidus / pathology
  • Female
  • Granulomatosis with Polyangiitis / complications*
  • Granulomatosis with Polyangiitis / drug therapy
  • Granulomatosis with Polyangiitis / pathology
  • Humans
  • Middle Aged