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A Case of Lithium Induced Hyperparathyroidism

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  • T Patrick Jensen

    (Medical Director of Psychiatry Consult and Liaison Service & Senior Behavioral Unit at Covenant Health, USA)

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.

Suggested Citation

  • T Patrick Jensen, 2023. "A Case of Lithium Induced Hyperparathyroidism," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 50(4), pages 41881-41885, May.
  • Handle: RePEc:abf:journl:v:50:y:2023:i:4:p:41881-41885
    DOI: 10.26717/BJSTR.2023.50.007986
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