A Case of Lithium Induced Hyperparathyroidism

T Patrick Jensen
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T Patrick Jensen: Medical Director of Psychiatry Consult and Liaison Service & Senior Behavioral Unit at Covenant Health, USA

Biomedical Journal of Scientific & Technical Research, 2023, vol. 50, issue 4, 41881-41885

Abstract: A 76-year-old white female with a history of bipolar illness, chronically managed on lithium, presented with altered mental status in the context of normal pressure hydrocephalus. She exhibited signs of catatonia with autonomic instability including uncontrolled hypertension and isolated episodes of tachycardia. Bush Francis catatonic rating scale score was 21, which was highly suggestive of catatonia; however, she did not respond to Ativan challenge which suggested an encephalopathy, not classical catatonia. Labs revealed apparent primary hyperparathyroidism with associated hypercalcemia and elevated PTH in the setting of longterm lithium use.

Keywords: Journals on Medical Drug and Therapeutics; Journals on Emergency Medicine; Physical Medicine and Rehabilitation; Journals on Infectious Diseases Addiction Science and Clinical Pathology; Open Access Clinical and Medical Journal; Journals on Biomedical Science; List of Open Access Medical Journal; Journals on Biomedical Engineering; Open Access Medical Journal; Biomedical Science Articles; Journal of Scientific and Technical Research (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:abf:journl:v:50:y:2023:i:4:p:41881-41885

DOI: 10.26717/BJSTR.2023.50.007986

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