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Related Experiment Videos

Lithium-induced nephrotic syndrome.

I K Wood1, D X Parmelee, J W Foreman

  • 1Division of Child Psychiatry, Virginia Treatment Center for Children, Richmond.

The American Journal of Psychiatry
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

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Lithium treatment can cause nephrotic syndrome, a rare kidney condition, even at normal doses. This condition, characterized by minimal change disease, often resolves after stopping lithium.

Area of Science:

  • Nephrology
  • Pharmacology
  • Toxicology

Background:

  • Lithium is a mood stabilizer used to treat bipolar disorder.
  • Nephrotic syndrome is a kidney disorder characterized by protein in the urine.
  • Adverse renal effects of lithium are uncommon but can be serious.

Observation:

  • Lithium-induced nephrotic syndrome is a rare, idiosyncratic adverse renal effect.
  • It can occur at therapeutic plasma lithium levels.
  • Renal biopsies show fusion of foot processes of renal epithelial cells (minimal change disease).

Findings:

  • The syndrome is typically reversible upon lithium discontinuation, though corticosteroids may be needed.
  • No specific risk factors identify individuals prone to developing this condition.

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  • This review includes eight previously published cases and one new case of lithium-induced nephrotic syndrome in an adolescent.
  • Implications:

    • Clinicians should be aware of the potential for lithium-induced nephrotic syndrome.
    • Early recognition and discontinuation of lithium are crucial for management.
    • Further research may be needed to identify individuals at risk.