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Lithium induced chronic renal disease: A case report
Destiny Duvall1, Tracy VanMeter1
1Department of Radiology, University of Louisville Hospital, 530 South Jackson St, CCB-C07, Louisville, KY, 40202 USA.
Long-term lithium use can cause chronic kidney disease (CKD) in patients with bipolar disorder. This case highlights the importance of monitoring renal function in patients on lithium therapy.
Area of Science:
- Nephrology
- Psychiatry
- Pharmacology
Background:
- Lithium is a common mood stabilizer for bipolar disorder.
- Long-term lithium treatment is associated with various renal complications.
- Chronic kidney disease (CKD) is a potential adverse effect of lithium therapy.
Observation:
- A 69-year-old female with hypertension and bipolar disorder was treated with lithium.
- The patient developed chronic renal disease during long-term lithium treatment.
Findings:
- The case demonstrates a direct correlation between sustained lithium administration and the development of lithium-induced CKD.
- Renal biopsy findings (if available) would further confirm the diagnosis.
Implications:
- This case underscores the necessity of regular renal function monitoring in patients on long-term lithium.
- Clinicians should consider alternative treatments or dose adjustments to mitigate nephrotoxicity risks.
- Early detection and intervention are crucial for managing lithium-induced nephropathy.
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