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Report of a Fatal Case

Murray Raskind, MD

Arch Gen Psychiatry. 1974;30(1):112-114.

Abstract
In the absence of complicating medical illness, psychogenic polydipsia has been regarded as a fairly benign process. This paper reports on a case of rapidly fatal water intoxication secondary to psychogenic polydipsia in a psychotic woman.

A review of the literature revealed a strong association between psychosis and water intoxication in compulsive water drinkers. The possible role of neuroendocrine changes in psychosis is discussed and the danger of thiazide diuretics in psychogenic polydipsia is emphasized.

Author Affiliations
Seattle

From the Department of Psychiatry, University of Washington School of Medicine, Seattle.

Footnotes
Accepted for publication June 14, 1973.

Reprint requests to the Department of Psychiatry, RP-10, University of Washington, Seattle, WA 98195 (Dr. Raskind).

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