Endocrine abnormalities in lithium toxicity

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Lithium toxicity can manifest as a variety of biochemical ­abnormalities. This case report describes a patient ­presenting to the emergency department with neuropsychiatric ­symptoms on a background of bipolar disorder, for which she was prescribed lithium for 26 years previously. Cases of lithium toxicity are rare but can be severe and this case report ­demonstrates to clinicians that they must be thorough in investigating patients with lithium toxicity, as there are many potential abnormalities that can manifest concurrently.

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