Abstract

I wish to applaud the efforts of Moffatt et al1 to dispel the idea promulgated by its manufacturer that administering deamino-8-D-arginine vasopressin (DDAVP) is the most effective, or is even a particularly effective, treatment for nocturnal enuresis. However, I was disappointed in the accompanying editorial by Rappaport2 in two regards. He mentions, without questioning, the suggestion "that at least a component of the etiology of enuresis is secondary to a deficiency of a nocturnal surge of antidiuretic hormone (ADH)."

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