RT Journal Article SR Electronic T1 Endocrine abnormalities in lithium toxicity JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 434 OP 436 DO 10.7861/clinmedicine.17-5-434 VO 17 IS 5 A1 Gabriella Shanks A1 Vinita Mishra A1 Stanka Nikolova YR 2017 UL http://www.rcpjournals.org/content/17/5/434.abstract 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.