An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism

Lithium therapy has been associated with several endocrine disorders including thyroid dysfunction, diabetes insipidus, and hyperparathyroidism. While its suppressive effect on thyroid function is well known, it is very rare to observe lithium-induced hyperthyroidism especially in the pediatric popu...

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Main Authors: Pratibha Rana, Patria Alba Aponte, Ghufran Babar
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2020/1283464
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author Pratibha Rana
Patria Alba Aponte
Ghufran Babar
author_facet Pratibha Rana
Patria Alba Aponte
Ghufran Babar
author_sort Pratibha Rana
collection DOAJ
description Lithium therapy has been associated with several endocrine disorders including thyroid dysfunction, diabetes insipidus, and hyperparathyroidism. While its suppressive effect on thyroid function is well known, it is very rare to observe lithium-induced hyperthyroidism especially in the pediatric population. Here, we describe a case of lithium-induced hyperthyroidism in an adolescent female with bipolar disorder. The patient is a 17-year-old female who was treated with lithium for bipolar disorder and presented with symptoms and laboratory findings consistent with hyperthyroidism. Since thyroid autoantibodies were negative, thyroid dysfunction was attributed to lithium toxicity. Indeed, her clinical and biochemical hyperthyroid state resolved after stopping lithium therapy. Lithium-associated hyperthyroidism can occur in the pediatric population. We propose close monitoring of thyroid hormone levels in children on lithium therapy.
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series Case Reports in Endocrinology
spelling doaj-art-10686e811b414821b9b171665c6cece02025-02-03T06:43:51ZengWileyCase Reports in Endocrinology2090-65012090-651X2020-01-01202010.1155/2020/12834641283464An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced HyperthyroidismPratibha Rana0Patria Alba Aponte1Ghufran Babar2Children’s Mercy Hospital, 3101 Broadway Blvd., Kansas City, MO 64111, USAChildren’s Mercy Hospital, 3101 Broadway Blvd., Kansas City, MO 64111, USADepartment of Pediatric Endocrinology, Children’s Mercy Hospital, 3101 Broadway Blvd., Kansas City, MO 64111, USALithium therapy has been associated with several endocrine disorders including thyroid dysfunction, diabetes insipidus, and hyperparathyroidism. While its suppressive effect on thyroid function is well known, it is very rare to observe lithium-induced hyperthyroidism especially in the pediatric population. Here, we describe a case of lithium-induced hyperthyroidism in an adolescent female with bipolar disorder. The patient is a 17-year-old female who was treated with lithium for bipolar disorder and presented with symptoms and laboratory findings consistent with hyperthyroidism. Since thyroid autoantibodies were negative, thyroid dysfunction was attributed to lithium toxicity. Indeed, her clinical and biochemical hyperthyroid state resolved after stopping lithium therapy. Lithium-associated hyperthyroidism can occur in the pediatric population. We propose close monitoring of thyroid hormone levels in children on lithium therapy.http://dx.doi.org/10.1155/2020/1283464
spellingShingle Pratibha Rana
Patria Alba Aponte
Ghufran Babar
An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism
Case Reports in Endocrinology
title An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism
title_full An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism
title_fullStr An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism
title_full_unstemmed An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism
title_short An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism
title_sort adolescent female with bipolar disorder presenting with lithium induced hyperthyroidism
url http://dx.doi.org/10.1155/2020/1283464
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