Nephrogenic diabetes insipidus during lithium acute intoxication

被引：2

作者：

Abodo, J. ^{[1
,2
]}

Seux, V. ^{[1
]}

Koffi-Dago, P. ^{[2
]}

Dalco, O. ^{[1
]}

Renaud-Levy, O. ^{[1
]}

Tassy, S. ^{[1
]}

Million, M. ^{[1
]}

Lokrou, A. ^{[2
]}

Soubeyrand, J. ^{[1
]}

Retornaz, F. ^{[1
]}

机构：

[1] Hop St Marguerite, Serv Med Interne & Geriatrie, F-13274 Marseille 09, France

[2] CHU Yopougon, Serv Endocrinol Diabetol, Abidjan, Cote Ivoire

来源：

ANNALES D ENDOCRINOLOGIE | 2007年 / 68卷 / 06期

关键词：

nephrogenic diabetes insipidus; lithium; acute toxicity; psychosis; dehydration;

D O I：

10.1016/j.ando.2007.05.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute lithium intoxication may occur in circumstances causing kidney failure, when using lithium chronically. This situation may lead to neurological symptoms with coma, gastrointestinal disorders with diarrhea, cardiovascular symptoms with hypotension and metabolic symptoms with hypercalcemia. Nephrogenic diabetes insipidus may also develop. We report the case of a 69-year-old woman suffering from unipolar maniaco-depressive psychosis and treated by lithium for 10 years. This case highlights the need to monitor serum lithium levels in patients on long-term lithium regimens, especially in circumstances involving dehydration. (c) 2007 Elsevier Masson SAS. Tons droits reserves.

引用

页码：467 / 469

页数：3

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