[Minimal change disease during lithium therapy: case report]

Autor: Graziani R, Monti M, Sejdiu B, Gozzetti F, Martelli D, Tampieri E, Isola E, Zanchelli F, Briganti M, Cenacchi G, Fabbrizio B, Buscaroli A.
Přispěvatelé: Graziani R, Monti M, Sejdiu B, Gozzetti F, Martelli D, Tampieri E, Isola E, Zanchelli F, Briganti M, Cenacchi G, Fabbrizio B, Buscaroli A.
Rok vydání: 2019
Předmět:
Zdroj: Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia. 36(4)
ISSN: 1724-5990
Popis: Lithium is a largely used and effective therapy in the treatment of bipolar disorder. Its toxic effects on kidneys are mostly diabetes insipidus, hyperchloremic metabolic acidosis and tubulointerstitial nephritis. Also, a correlation between lithium and minimal change disease has sometimes been described. We report here the case of a patient with severe bipolar disorder on lithium therapy who, without any pre-existing nephropathy, developed nephrotic syndrome and AKI with histopathologic findings pointing to minimal change disease. The patient was treated with symptomatic therapy; the discontinuation of lithium therapy resulted in the remission of AKI and of the nephrotic syndrome, thus suggesting a close relationship between lithium and minimal change disease.
Databáze: OpenAIRE