UMass Chan Affiliations
Department of RadiologyDepartment of Pediatrics
University of Massachusetts Memorial Children's Medical Center
Document Type
Journal ArticlePublication Date
2019-06-03Keywords
lithium therapylithium-induced nephropathy
pediatric patients
chronic kidney disease
Biochemical Phenomena, Metabolism, and Nutrition
Male Urogenital Diseases
Medical Toxicology
Mental Disorders
Nephrology
Pediatrics
Urogenital System
Metadata
Show full item recordAbstract
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 m(2)) from a baseline of 0.78 mg/dL (eGFR 86 ml/min/1.73 m(2)) 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.Source
Case Rep Pediatr. 2019 Jun 3;2019:5406482. doi: 10.1155/2019/5406482. eCollection 2019. Link to article on publisher's site
DOI
10.1155/2019/5406482Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43694PubMed ID
31281703Related Resources
Rights
Copyright © 2019 Neena Gupta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.1155/2019/5406482
Scopus Count
Except where otherwise noted, this item's license is described as Copyright © 2019 Neena Gupta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.