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Lithium Induce Goiter And Hypothyroidism


NORMAL THYROID SIZE


Neither lithium-induced goiter nor hypothyroidism causes mortality directly. Morbidity is mostly related to concomitant hypothyroidism and to local compressive symptoms from thyroid enlargement (eg, dysphonia, dysphagia, voice-quality changes, neck discomfort). Lithium is potentially toxic and can cause arrhythmias, atrioventricular block, nephrogenic diabetes insipidus, agranulocytosis, confusion, seizures, mental status changes, and coma. Lithium-induced heart atrioventricular block can be exacerbated by the hypothyroid state. However, these adverse effects occur at supratherapeutic serum lithium levels, which are avoided by serial monitoring of these levels, especially in the setting of renal impairment.

NORMAL THYROID SIZE




















2 comments:

Shirley Donalds said...

About a month ago I was prescribed with synthroid and almost immediately had a pretty severe reaction to it. My doctor switched me to desiccated bovine supplements . It worked well. So I'm going back for a tune-up.

Doctoroo said...

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