{{위키데이터 속성 추적}}
{{Infobox medical condition (new)
| name            =
| image           = ADH3.svg
| caption         = 
| field           = [[내분비학]], [[신장학]]|
| synonyms      = 과도한 소변량<ref name=ur/>
| complications   =
| onset           =
| duration        =
| types           =
| causes          = 조갈증, 심인성다음증<ref name=ref/><ref name=ref2/>
| risks           =
| diagnosis       =  소변 검사와 혈액 검사<ref name="pat"/>
| differential    =
| prevention      =
| treatment       = 병인에 따라 상이<ref name="uro"/>(병인 문단 참고)
| medication      =
| prognosis       =
| frequency       =
| deaths          =
}}
'''다뇨증'''(多尿症, {{llang|en|polyuria}}) 또는 '''다뇨'''(多尿)는 [[오줌]]의 생성량이나 통과량이 비정상적으로 많거나 과도한 것을 말한다. 성인 기준으로 24시간 내에 보통 2.5 L<ref name="ur">{{웹 인용|title=Urination – excessive amount|url=https://www.nlm.nih.gov/medlineplus/ency/article/003146.htm|website=Medline Plus|publisher=United States National Library of Medicine|access-date=30 December 2014|date=27 December 2013}}</ref> 또는 3 L<ref name=merck>{{웹 인용|title=Polyuria|url=http://www.merckmanuals.com/professional/genitourinary_disorders/symptoms_of_genitourinary_disorders/polyuria.html|website=Merck Manuals|access-date=30 December 2014|date=November 2013}}</ref>를 초과한다.

== 병인 ==
=== 병인 목록 ===
{{col-list|colwidth=30em|
'''일반'''
* [[조갈증]]<ref name="ref2">{{서적 인용|last1=Rippe|first1=editors, Richard S. Irwin, James M.|title=Irwin and Rippe's intensive care medicine|date=2008|publisher=Wolters Kluwer Health/Lippincott Williams & Wilkins|location=Philadelphia|isbn=978-0-7817-9153-3|page=909|edition=6th|url=https://books.google.com/books?id=ooH1nH81_h4C&q=polydipsia++causes+polyuria&pg=PA909|access-date=5 August 2015}}</ref>
* [[심인성다음증]]<ref name="ref">{{서적 인용|last1=Rudolf|first1=Mary|title=Paediatrics and Child Health|date=2006|publisher=Wiley|page=142|edition=2nd|url=https://books.google.com/books?id=eAAgon-AtoAC&q=psychogenic+polydipsia+causes+polyuria&pg=PA142|access-date=5 August 2015|isbn=9781444320664}}</ref>
* [[이뇨제]], [[삼투성 이뇨]]<ref>{{서적 인용|last1=Ronco|first1=Claudio|title=Critical Care Nephrology|date=2009|publisher=Saunders|page=475|edition=2nd|url=https://books.google.com/books?id=XkKn96HThzEC&q=diuresis+causes+polyuria&pg=PA475|access-date=5 August 2015|isbn=978-1416042525}}</ref>

'''비뇨기계'''
* [[간질성 방광염]]<ref>{{서적 인용|last1=Paulman|first1=Paul|title=Signs and Symptoms in Family Medicine: A Literature-Based Approach|date=2012|publisher=Elsevier|page=432|url=https://books.google.com/books?id=SW87MoaaIaAC&q=interstitial+cystitis+causes+polyuria&pg=PA432|access-date=5 August 2015|isbn=978-0323081320}}</ref>
* [[요로감염증]]<ref>{{서적 인용|last1=Drake|first1=edited by Michael Glynn, William M.|title=Hutchison's clinical methods : an integrated approach to clinical practice|date=2012|publisher=Elsevier|location=Edinburgh|isbn=978-0-7020-4091-7|page=378|edition=23rd|url=https://books.google.com/books?id=fExzRaEuPC8C&q=urinary+tract+infection+causes+polyuria&pg=PA378|access-date=5 August 2015}}</ref>
* [[요세관성 산증]]<ref>{{서적 인용|last1=Lee|first1=[edited by] Mary|title=Basic skills in interpreting laboratory data|date=2013|publisher=American Society of Health-System Pharmacists|location=Bethesda, Md.|isbn=978-1-58528-343-9|page=132|edition=5th|url=https://books.google.com/books?id=5WW1AAAAQBAJ&q=renal+tubular+acidosis+causes+polyuria&pg=PT572|access-date=5 August 2015}}</ref>
* [[판코니 증상]]<ref>{{서적 인용|last1=Weissman|first1=[edited by] Barbara N.|title=Imaging of arthritis and metabolic bone disease|date=2009|publisher=Mosby/Elsevier|location=Philadelphia, PA|isbn=978-0-323-04177-5|page=679|url=https://books.google.com/books?id=N94omKNvnVQC&q=Fanconi+syndrome+causes+polyuria&pg=PA679|access-date=5 August 2015}}</ref>
* [[콩팥황폐증]](유전)<ref>{{서적 인용|title=Radiology illustrated : pediatric radiology|date=2013|publisher=Springer|location=[S.l.]|isbn=978-3-642-35572-1|page=761|edition=1., 2013|url=https://books.google.com/books?id=saPIAwAAQBAJ&q=nephronophthisis+causes+polyuria&pg=PA761|access-date=6 August 2015}}</ref>
'''호르몬성'''
* [[저칼륨혈증]]<ref>{{서적 인용|last1=Chihan|first1=Nina|title=Nursing Interpreting Signs and Symptoms|date=2007|publisher=Lippincott Williams & Wilkins|page=481|url=https://books.google.com/books?id=PcARTQwHLpIC&q=psychogenic+polydipsia+causes+polyuria&pg=PA481|access-date=5 August 2015|isbn=9781582556680}}</ref>
* [[당뇨병]]<ref>{{서적 인용|last1=Brickell|first1=[edited by] Wendy Arneson, Jean|title=Clinical chemistry : a laboratory perspective|date=2007|publisher=F.A. Davis Co.|location=Philadelphia|isbn=978-0-8036-1498-7|page=411|url=https://books.google.com/books?id=OdjaAAAAQBAJ&q=chronic+renal+failure+causes+polyuria&pg=PA411|access-date=5 August 2015}}</ref>
* [[코르티코스테로이드]] 복용<ref>{{서적 인용|last1=Soni|first1=Andrew Bersten, Neil|title=Oh's Intensive Care Manual|date=2013|publisher=Elsevier Health Sciences|location=London|isbn=978-0-7020-4762-6|page=643|edition=7.|url=https://books.google.com/books?id=xXyzAQAAQBAJ&q=corticosteroid+causes+polyuria&pg=PA643|access-date=6 August 2015}}</ref>
* [[크롬친화세포종]]<ref>{{웹 인용|title=Pediatric Pheochromocytoma Clinical Presentation|url=http://emedicine.medscape.com/article/988683-clinical|website=Medscape.com|publisher=eMedicine|access-date=6 August 2015}}</ref>
* [[부갑상선 기능 항진증]]<ref>{{서적 인용|last1=Ghosh|first1=Srinanda|title=MCQ's in medical surgical nursing : (with explanatory answers)|date=2007|publisher=Jaypee Bros. Medical Publishers (P) Ltd.|location=New Delhi, India|isbn=978-81-8448-104-4|page=150|edition=1st|url=https://books.google.com/books?id=7fFV0QcLLCoC&q=hyperparathyroidism+causes+polyuria&pg=PA150|access-date=6 August 2015}}{{깨진 링크|url=https://books.google.com/books?id=7fFV0QcLLCoC&q=hyperparathyroidism+causes+polyuria&pg=PA150 }}</ref>
* [[요붕증]]<ref>{{서적 인용|last1=Loscalzo|first1=edited by Ajay K. Singh, Joseph|title=The Brigham intensive review of internal medicine|date=2014|isbn=978-0-19-935828-1|page=551|edition=Second|url=https://books.google.com/books?id=21bCBwAAQBAJ&q=acromegaly+causes+polyuria&pg=PA551|access-date=6 August 2015}}</ref>
* [[고칼슘혈증]]<ref>{{서적 인용|title=Acute medicine 201415|date=2014|publisher=Scion|location=[S.l.]|isbn=978-1-907904-25-7|page=312|url=https://books.google.com/books?id=md-tBwAAQBAJ&q=hypercalcaemia+causes+polyuria&pg=PA312|access-date=6 August 2015}}</ref>
* [[갑상선 기능 항진증]]<ref>{{저널 인용|last1=Mariani|first1=Laura|title=The Renal Manifestations of Thyroid Disease|journal=Journal of the American Society of Nephrology|volume=23|issue=1|date=2007|pages=22–26|url=http://jasn.asnjournals.org/content/23/1/22.full|access-date=6 August 2015|doi=10.1681/ASN.2010070766|pmid=22021708|doi-access=free}}</ref>
* [[뇌하수체 기능 부전]]<ref>{{웹 인용|title=Panhypopituitarism Clinical Presentation|url=http://emedicine.medscape.com/article/923789-clinical|website=Medscape.com|publisher=eMedicine|access-date=6 August 2015}}</ref>
* [[콘증후군]](Conn's disease)<ref>{{서적 인용|last1=Kost|first1=Michael|title=Moderate sedation/analgesia : core competencies for practice|date=2004|publisher=Saunders|location=St. Louis, Missouri.|isbn=978-0-7216-0324-7|page=43|edition=2nd|url=https://books.google.com/books?id=QMavPTjZwEkC&q=conn%27s+disease+causes+polyuria&pg=PA43|access-date=6 August 2015}}</ref>
* [[과혈당증]]<ref>{{서적 인용|editor-last1=Schwartz|editor-first1=M. William Schwartz |display-editors=etal |title=The 5-minute pediatric consult|date=2012|publisher=Wolters Kluwer Health/Lippincott Williams & Wilkins|location=Philadelphia|isbn=978-1-4511-1656-4|page=270|edition=6th|url=https://books.google.com/books?id=v7pbSFfMHCoC&q=hyperglycemia+causes+polyuria&pg=PA270|access-date=6 August 2015}}</ref>
'''순환'''
* [[심부전]]<ref>{{서적 인용|last1=Abrams|first1=Paul|title=Urodynamics|date=2006|publisher=Springer|location=London|isbn=978-1-85233-924-1|page=120|edition=3.|url=https://books.google.com/books?id=vp20IgaT6ZYC&q=congestive+heart++failure++healing+period+causes+polyuria&pg=PA120|access-date=6 August 2015}}</ref>
* 결장 절제 질병(cardiorespiratory disease)<ref>{{서적 인용|last1=Leslie|first1=Shern L. Chew, David|title=Clinical endocrinology and diabetes|date=2006|publisher=Churchill Livingstone/Elsevier|location=Edinburgh|isbn=978-0443073038|page=21|url=https://books.google.com/books?id=8BZVADcIwoYC&q=hypogonadism+causes+polyuria&pg=PA21}}</ref>
* POTS([[:en:postural orthostatic tachycardia syndrome]])<ref>{{서적 인용|last1=Pavord|first1=Sherif Gonem; foreword by Ian|title=Diagnosis in acute medicine|date=2010|publisher=Radcliffe Pub.|location=Oxford|isbn=978-184619-433-7|page=44|url=https://books.google.com/books?id=XgfO4jvuLCYC&q=postural+orthostatic+tachycardia+syndrome++causes+polyuria&pg=PA44|access-date=6 August 2015}}</ref>

'''신경성'''
* [[대뇌 염 소모 증후군]](cerebral salt-wasting syndrome)<ref>{{서적 인용|last1=Shanley|first1=edited by Derek S. Wheeler, Hector R. Wong, Thomas P.|title=A Systems Approach|date=2014|publisher=Springer Verlag|isbn=978-1-4471-6355-8|page=635|edition=2nd|url=https://books.google.com/books?id=oHciBAAAQBAJ&q=cerebral+salt-wasting+syndrome+causes+polyuria&pg=PA635|access-date=6 August 2015}}</ref>
* 신경손상<ref>{{서적 인용|last1=Parker|first1=Rolland S.|title=Concussive brain trauma neurobehavioral impairment and maladaptation|date=2012|publisher=CRC Press|location=Boca Raton, FL|isbn=978-1-4200-0798-5|page=322|edition=Second|url=https://books.google.com/books?id=nWLLBQAAQBAJ&q=head+trauma+causes+polyuria&pg=PA322|access-date=6 August 2015}}</ref>
* [[편두통]]<ref>{{웹 인용|title=Migraine Headache Clinical Presentation|url=http://emedicine.medscape.com/article/1142556-clinical|website=Medscape.com|publisher=eMedicine|access-date=6 August 2015}}</ref>

'''기타'''
* 과도한 [[리보플래빈]](비타민 B<sub>2</sub>)<ref>{{서적 인용|last1=McKee|first1=Mitchell Bebel Stargrove, Jonathan Treasure, Dwight L.|title=Herb, nutrient, and drug interactions : clinical implications and therapeutic strategies|date=2008|publisher=Mosby/Elsevier|location=St. Louis, Mo.|isbn=978-0-323-02964-3|page=267|url=https://books.google.com/books?id=49kLK--eumEC&q=high+doses+of+riboflavin+causes+polyuria&pg=PA267|access-date=6 August 2015}}</ref>
* 과도한 [[비타민 D]]<ref>{{서적 인용|last1=Watkins|first1=edited by W. Allan Walker, John B.|title=Nutrition in pediatrics : basic science and clinical application|date=1997|publisher=B.C. Decker|location=Hamilton, Ont.|isbn=978-1-55009-026-0|page=205|edition=2nd|url=https://books.google.com/books?id=wSTISCdSIosC&q=high+dose+ascorbic+acid++causes+polyuria&pg=PA205|access-date=6 August 2015}}</ref>
* [[고도 이뇨]]<ref>{{서적 인용|last1=Swienton|first1=editors, Richard B. Schwartz, John G. McManus Jr., Raymond E.|title=Tactical emergency medicine|date=2008|publisher=Wolters Kluwer/Lippincott Williams & Wilkins|location=Philadelphia|isbn=978-0-7817-7332-4|page=75|url=https://books.google.com/books?id=-erLJS_tHcAC&q=altitude+diuresis++causes+polyuria&pg=PA75|access-date=6 August 2015}}</ref>
* 리튬 부작용<ref>{{서적 인용|last1=Vyas|first1=JN|title=Textbook of Postgraduate Psychiatry (2 Vols.)|date=2008|publisher=Jaypee Brothers Publishing|isbn=978-81-7179-648-9|page=761|url=https://books.google.com/books?id=9-Dtdb_n3NQC&q=side+effect+of+lithium+causes+polyuria&pg=PA761|access-date=6 August 2015}}{{깨진 링크|url=https://books.google.com/books?id=9-Dtdb_n3NQC&q=side+effect+of+lithium+causes+polyuria&pg=PA761 }}</ref>
* [[철과잉증]]<ref>{{웹 인용|title=Hemochromatosis Clinical Presentation|url=http://emedicine.medscape.com/article/177216-clinical|website=Medscape.com|publisher=eMedicine|access-date=6 August 2015}}</ref>
* ochratoxicosis<ref>{{저널 인용|author1=J. W. Bennett|author2=M. Klich|title=Mycotoxins|date=2003|pmc=164220| journal=Clin Microbiol Rev|volume=16|issue=3|pages=497–516|doi=10.1128/CMR.16.3.497-516.2003|pmid=12857779}}</ref>
}}

== 진단 ==
다뇨증의 가능한 진단법은 다음과 같다:<ref name="pat">{{웹 인용|title = Polyuria. Medical Professional reference for Polyuria. {{!}} Patient|url = http://patient.info/doctor/polyuria|website = Patient|access-date = 2015-11-08|language = en-GB}}</ref>
{{col-list|colwidth=30em|
* [[소변 검사]]
* FBC
* [[혈액]] 검사
* [[뇌하수체]] 기능 검사
}}

== 치료 ==
병인에 따라 적절한 치료법이 제공되어야 한다. [[국립보건임상연구원]](National Institute for Health and Care Excellence, NICE)에 따르면 다른 치료법이 실패했다는 전제 하에 당뇨병에 의해 유발 가능한 야간 당뇨증을 대상으로 데스모프레신(desmopressin)이 고려될 수 있다.<ref name="uro">{{서적 인용|title = Urology at a Glance|url = https://books.google.com/books?id=2UMBBQAAQBAJ&q=diabetes%2520mellitus%2520causes%2520nocturnal%2520polyuria&pg=PA29|publisher = Springer|date = 2014-10-21|isbn = 9783642548598|first1 = Axel S.|last1 = Merseburger|first2 = Markus A.|last2 = Kuczyk|first3 = Judd W.|last3 = Moul}}</ref>

== 각주 ==
{{각주}}

== 외부 링크 ==
{{Medical resources |
  Name        = Polyuria|
  Image       =
  Caption     =
  Field       = [[내분비학]], [[신장학]]|
  ICD10       = {{ICD10|R|35||r|30}}|
  ICD9        = {{ICD9|788.42}}|
  MeshID      = D011141|
  MedlinePlus = 003146
}}

{{전거 통제}}

[[분류:비뇨계통의 증상 및 징후]]