PT - JOURNAL ARTICLE AU - Gabriella Shanks AU - Vinita Mishra AU - Stanka Nikolova TI - Endocrine abnormalities in lithium toxicity AID - 10.7861/clinmedicine.17-5-434 DP - 2017 Oct 01 TA - Clinical Medicine PG - 434--436 VI - 17 IP - 5 4099 - http://www.rcpjournals.org/content/17/5/434.short 4100 - http://www.rcpjournals.org/content/17/5/434.full SO - Clin Med2017 Oct 01; 17 AB - Lithium toxicity can manifest as a variety of biochemical ­abnormalities. This case report describes a patient ­presenting to the emergency department with neuropsychiatric ­symptoms on a background of bipolar disorder, for which she was prescribed lithium for 26 years previously. Cases of lithium toxicity are rare but can be severe and this case report ­demonstrates to clinicians that they must be thorough in investigating patients with lithium toxicity, as there are many potential abnormalities that can manifest concurrently.