Denyse Thornley-Brown, MD; John H. Galla, MD; Phillip D. Williams, MD; K. Sashi Kant, MD; Mitchell Rashkin, MD
We present an unusual case of lithium toxicity characterized by recurrently elevated serum lithium levels despite adequate hemodialysis.
A 47-year-old woman presented in an unresponsive state to the emergency department of the University of Cincinnati Hospital. She had a history of a bipolar disorder, keratosis follicularis, and a seizure disorder. Medications included tranylcypromine sulfate, 45 mg daily; benztropine mesylate, 1 mg daily; carbamazepine, 200 mg thrice daily; perphenazine, 16 mg thrice daily; lorazepam; and vitamin A. Lithium carbonate (Litho-bid, CIBA Pharmaceutical, Edison, New Jersey) had been discontinued 1 year before presentation because of an adverse skin reaction. On
Thornley-Brown D, Galla JH, Williams PD, Kant KS, Rashkin M. Lithium Toxicity Associated with a Trichobezoar. Ann Intern Med. 1992;116:739–740. doi: 10.7326/0003-4819-116-9-739
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Published: Ann Intern Med. 1992;116(9):739-740.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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