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Iran J Pediatr. 2010 Mar;20(1):127-30.

Congenital diaphragmatic hernia following usage of lithium carbonate; is lithium a teratogen?

Author information

  • 1Psychiatric and Science Behavior Research Center, Sari, IR Iran.

Abstract

BACKGROUND:

Lithium is used mainly for the treatment of Bipolar Disorder (BD). Case reports and several retrospective studies have demonstrated possible teratogenicity, but the data in different studies is inconclusive. The risk for cardiovascular malformations, particularly Ebstein's anomaly and other congenital abnormalities have been reported.

CASE PRESENTATION:

A 25-year-old gravida 1, para 1 woman at 38 weeks of gestation was admitted for an elective caesarean section. She had a history of BP for which she was treated with lithium 600mg q12h in the first trimester of pregnancy. There was no familial history of birth defects, any antenatal infection or exposure to any other medications, alcohol, smoking, or X-rays. A baby boy (3500g) was born. After 2 to 3 hours respiratory distress clinical picture and chest radiograph suggested diagnosis of congenital diaphragmatic hernia. Repair of his diaphragm was preformed and patient discharged after 12 days.

CONCLUSION:

Lithium probably produces a defect in normal development of the diaphragm and may pose specific risk for an anomaly known as congenital diaphragmatic hernia (CDH).

KEYWORDS:

Bipolar Disorder; Diaphragmatic hernia; Lithium carbonate; Pregnancy; Teratogens

PMID:
23056695
[PubMed]
PMCID:
PMC3446010
Free PMC Article
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