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Tijdschrift voor Psychiatrie 42 (2000) 11, 851 - 855

Case report

A clinical case of treatment-resistant manic psychosis

E.C.A. Collumbien

In this paper the management of a woman with a severe treatment-resistant manic psychosis is described. Hyperparathyroidism as a possible cause for the resistance to treatment was considered. A search in Medline yielded a substantial amount of references on the occurrence of hyperparathyroidism in chronic lithium users. These findings and the diagnosis and the treatment of this lithium-associated hyperparathyroidism are discussed.

keywords hyperparathyroidism, lithium, treatment-resistance