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Lithium-Induced Chronic Kidney Disease in a Pediatric Patient
Joint Authors
Gupta, Neena
Gibson, Meghan
Wallace, Ellen C.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-03
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Lithium-induced nephropathy usually manifests in adulthood as it develops slowly after many years of cumulative exposure.
There is very limited information available in pediatric patients.
Renal function monitoring and timely intervention is the key in preventing lithium-induced chronic kidney disease in these patients.
We report a case of a 14-year-old boy who was on lithium for almost 9 years for his complex psychiatric illness.
He presented with increased urinary frequency and nocturia.
His serum creatinine increased to 1.15 mg/dL (estimated glomerular filtration rate or eGFR 53 ml/min/1.73 m2) from a baseline of 0.78 mg/dL (eGFR 86 ml/min/1.73 m2) a year prior to this presentation.
Results of the imaging study were consistent with lithium-induced nephropathy.
He was managed conservatively.
His serum creatinine returned to baseline of 0.78 mg/dL after a year of discontinuation of lithium, consistent with mild chronic kidney disease.
This case highlights the fact that lithium-induced chronic kidney disease can present in pediatric age group when lithium is initiated at a young age in children and that timely intervention may prevent further progression of renal damage.
In addition to drug levels, routine monitoring of renal function during lithium therapy is essential.
American Psychological Association (APA)
Gupta, Neena& Gibson, Meghan& Wallace, Ellen C.. 2019. Lithium-Induced Chronic Kidney Disease in a Pediatric Patient. Case Reports in Pediatrics،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143719
Modern Language Association (MLA)
Gupta, Neena…[et al.]. Lithium-Induced Chronic Kidney Disease in a Pediatric Patient. Case Reports in Pediatrics No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1143719
American Medical Association (AMA)
Gupta, Neena& Gibson, Meghan& Wallace, Ellen C.. Lithium-Induced Chronic Kidney Disease in a Pediatric Patient. Case Reports in Pediatrics. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1143719
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143719