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两名双相情感障碍患者在完全或部分停用锂盐后出现甲状腺毒症。

Thyrotoxicosis after complete or partial lithium withdrawal in two patients with bipolar affective disorder.

作者信息

Carmaciu C D, Anderson C S, Lawton C A

机构信息

Mental Health Department, Clacton and District Hospital, Clacton on Sea, Essex, UK.

出版信息

Bipolar Disord. 2003 Oct;5(5):381-4. doi: 10.1034/j.1399-5618.2003.00052.x.

DOI:10.1034/j.1399-5618.2003.00052.x
PMID:14525561
Abstract

OBJECTIVES

To highlight and discuss thyrotoxicosis after lithium withdrawal as a potential complication of lithium therapy for bipolar disorder.

CASE REPORTS

Both patients presented developed thyrotoxicosis, the first patient after stopping the lithium completely, and the second patient after a reduction in the lithium dose.

CONCLUSIONS

Clinicians should be alert to the possibility of thyrotoxicosis emerging when lithium is being completely or partially withdrawn. Such withdrawal could unmask a latent hyperthyroidism.

摘要

目的

强调并讨论停用锂盐后发生的甲状腺毒症,这是双相情感障碍锂盐治疗的一种潜在并发症。

病例报告

两名患者均出现了甲状腺毒症,第一名患者在完全停用锂盐后出现,第二名患者在锂盐剂量减少后出现。

结论

临床医生应警惕在完全或部分停用锂盐时出现甲状腺毒症的可能性。这种停药可能会使潜在的甲状腺功能亢进显现出来。

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