Increased fluid losses |
Gastrointestinal or renal losses |
Gastrointestinal illness |
Diabetes mellitus |
Diabetes insipidus |
Dehydration |
Insensible losses |
Burns |
Febrile illness |
Increased sweating |
Cystic fibrosis |
Congenital heart disease |
Impaired heat dissipation |
Ectodermal dysplasia |
Hyperthyroidism |
Spinal cord lesions |
Impaired thirst mechanism |
Young children |
Children with developmental delay |
Impaired temperature regulation |
Anorexia nervosa |
Congenital or acquired brain injury with impaired hypothalamic function |
Environmental risk factors |
High heat index |
Poor preparation (lack of heat acclimatization, inadequate prehydration, lack of sleep or rest, or poor fitness) |
Excessive physical exertion |
Insufficient rehydration |
Clothing or equipment that causes excessive heat retention |
Other or multiple mechanisms |
Obesity |
Prescribed medications* |
Drug abuse¶ |
Juvenile hyperthyroidism (Graves' disease) |
Prepubescent age |
Sickle cell disease and sickle cell trait |
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