ea0015p70 | Clinical practice/governance and case reports | SFEBES2008
Prentice Malcolm
, Russell Gerald
A 44-year-old Caucasian female eight years previously had been diagnosed auto immune Addisons disease and started on replacement with hydrocortisone 30 mg daily in divided doses and fludrocortisone 0.1 mg was started on lithium carbonate. One month later when her lithium level was 1.0 mmol/l she was noted to have a sodium of 129 mmol/l, potassium of 5.2 mmol/l and fludrocortisone was increased to 0.3 mg om. Over the next year as her lithium dose was increased as her reni...