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一名双相情感障碍患者的锂诱导性甲状腺炎:一种罕见的表现

Lithium-induced Thyroiditis in a Patient with Bipolar Affective Disorder: A Rare Presentation.

作者信息

Selvaratnam Abhilash, Subramani Ramya, Gupta Nikhil Kumar, Singh Vijay, Saini Vivek Kumar

机构信息

Department of Nuclear Medicine, AIIMS, Rishikesh, Uttarakhand, India.

出版信息

Indian J Nucl Med. 2024 Jul-Aug;39(4):316-317. doi: 10.4103/ijnm.ijnm_48_24. Epub 2024 Nov 18.

DOI:10.4103/ijnm.ijnm_48_24
PMID:39790820
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708799/
Abstract

Lithium is used in the treatment of bipolar disorder to manage and stabilize mood, proving effective in addressing both manic and depressive phases. In these patients, the use of lithium is associated with various thyroid disorders, such as goiter and hypothyroidism; thyrotoxicosis is a rare presentation. In this case report, we demonstrated lithium-induced thyroiditis on thyroid scintigraphy.

摘要

锂被用于治疗双相情感障碍以控制和稳定情绪,在治疗躁狂和抑郁阶段均被证明有效。在这些患者中,锂的使用与多种甲状腺疾病相关,如甲状腺肿和甲状腺功能减退;甲状腺毒症是一种罕见的表现。在本病例报告中,我们通过甲状腺闪烁显像证实了锂诱导的甲状腺炎。

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Lithium-induced Thyroiditis in a Patient with Bipolar Affective Disorder: A Rare Presentation.一名双相情感障碍患者的锂诱导性甲状腺炎:一种罕见的表现
Indian J Nucl Med. 2024 Jul-Aug;39(4):316-317. doi: 10.4103/ijnm.ijnm_48_24. Epub 2024 Nov 18.
2
Lithium-induced Thyroiditis in a Patient Having Bipolar Affective Disorder - A Rare Case Report.双相情感障碍患者锂诱导的甲状腺炎——一例罕见病例报告
Indian J Psychol Med. 2018 Nov-Dec;40(6):577-579. doi: 10.4103/IJPSYM.IJPSYM_403_17.
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Aust N Z J Psychiatry. 1993 Jun;27(2):246-53. doi: 10.1080/00048679309075773.
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Lithium toxicity precipitated by thyrotoxicosis due to silent thyroiditis: cardiac arrest, quadriplegia, and coma.锂中毒由甲状腺功能亢进症引起的静默性甲状腺炎引发:心脏骤停、四肢瘫痪和昏迷。
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本文引用的文献

1
Incidence of hyperthyroidism in patients with bipolar or schizoaffective disorder with or without lithium: 21-year follow-up from the LiSIE retrospective cohort study.双相情感障碍或精神分裂症患者伴或不伴锂盐治疗时甲状腺功能亢进的发病率:LiSIE回顾性队列研究的21年随访
Ther Adv Psychopharmacol. 2023 Feb 9;13:20451253231151514. doi: 10.1177/20451253231151514. eCollection 2023.
2
Lithium treatment of Bipolar disorder in adults: A systematic review of randomized trials and meta-analyses.锂盐治疗成人双相情感障碍:随机试验和荟萃分析的系统评价。
Eur Neuropsychopharmacol. 2022 Jan;54:100-115. doi: 10.1016/j.euroneuro.2021.10.003.
3
Lithium - past, present, future.
锂:过去、现在和未来。
Int J Psychiatry Clin Pract. 2020 Nov;24(4):330-340. doi: 10.1080/13651501.2020.1775855. Epub 2020 Jun 17.
4
Lithium-induced Thyroiditis in a Patient Having Bipolar Affective Disorder - A Rare Case Report.双相情感障碍患者锂诱导的甲状腺炎——一例罕见病例报告
Indian J Psychol Med. 2018 Nov-Dec;40(6):577-579. doi: 10.4103/IJPSYM.IJPSYM_403_17.
5
Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis.锂在心境障碍中的预防自杀作用:更新的系统评价和荟萃分析。
BMJ. 2013 Jun 27;346:f3646. doi: 10.1136/bmj.f3646.
6
Spectrum of lithium induced thyroid abnormalities: a current perspective.锂诱导的甲状腺异常谱:当前观点
Thyroid Res. 2013 Feb 7;6(1):3. doi: 10.1186/1756-6614-6-3.
7
Lithium toxicity profile: a systematic review and meta-analysis.锂中毒的表现:系统评价和荟萃分析。
Lancet. 2012 Feb 25;379(9817):721-8. doi: 10.1016/S0140-6736(11)61516-X. Epub 2012 Jan 20.
8
A cross-sectional and a prospective study of thyroid disorders in lithium-treated patients.锂治疗患者甲状腺疾病的横断面研究和前瞻性研究。
J Affect Disord. 2005 Aug;87(2-3):313-7. doi: 10.1016/j.jad.2005.03.010.