Refractory Diabetes Insipidus Leading to Diagnosis of Type 2 Diabetes Mellitus and Non-Ketotic Hyperglycemia in an Adolescent Male

摘要

An obese 16-year-old male presented with chronic headachesand bitemporal visual field loss. Physical exam showed acanthosisnigricans and BMI of 39.8 kg/m.2 MRI of the brainrevealed craniopharyngioma (Figure 1). He developed hypopituitarismafter surgery, requiring Hydrocortisone, Levothyroxine,Testosterone enanthate, and desmopressin (DDAVP).