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Related Experiment Videos

Renal function in patients on lithium treatment.

R Hällgren, P O Alm, K Hellsing

    The British Journal of Psychiatry : the Journal of Mental Science
    |July 1, 1979
    PubMed
    Summary

    Lithium treatment may affect kidney function, with some patients showing decreased glomerular filtration rate and increased albumin or beta 2-microglobulin excretion. The cause of impaired renal function in these patients remains unclear.

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    Area of Science:

    • Nephrology
    • Pharmacology
    • Clinical Chemistry

    Background:

    • Lithium is a mood stabilizer used in treating bipolar disorder.
    • Potential adverse effects of long-term lithium therapy on kidney function are a concern.

    Purpose of the Study:

    • To investigate kidney function in patients undergoing lithium treatment.
    • To assess glomerular filtration rate and urinary excretion of specific biomarkers.

    Main Methods:

    • Cross-sectional study involving 66 lithium-treated patients.
    • Utilized [51Cr]-EDTA clearance to measure glomerular filtration rate.
    • Measured urinary albumin and beta 2-microglobulin excretion.

    Main Results:

    • Thirteen patients (19.7%) exhibited abnormal kidney function tests.
    • Seven patients had reduced glomerular filtration rate.
    • Four patients each showed increased urinary albumin or beta 2-microglobulin excretion.
    • No correlation found between lithium treatment duration, hypothyroidism, and impaired renal function.
    • Four patients had pre-existing renal dysfunction before lithium treatment.

    Conclusions:

    • A significant prevalence of impaired renal function was observed in lithium-treated patients.
    • The exact cause of renal dysfunction in this cohort is undetermined, but lithium is a potential contributing factor.
    • Further research is warranted to elucidate the relationship between lithium therapy and kidney health.

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