Lithium therapy associated with hidradenitis suppurativa: case report and a review of the dermatologic side effects of lithium

J Am Acad Dermatol. 1995 Feb;32(2 Pt 2):382-6. doi: 10.1016/0190-9622(95)90410-7.


Lithium is frequently used in the management of several psychiatric disorders including acute mania, bipolar (manic-depressive) disorder, and recurrent depression. We describe a patient in whom hidradenitis suppurativa developed while the patient was receiving lithium. The cutaneous side effects of lithium are reviewed. The most frequent are psoriasis, acneiform lesions, folliculitis, alopecia, and a maculopapular/macular eruption. Many of these side effects respond less readily to conventional therapy while the patient is receiving lithium.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acne Vulgaris / chemically induced
  • Adult
  • Alopecia / chemically induced
  • Bipolar Disorder / drug therapy
  • Drug Eruptions / etiology*
  • Female
  • Folliculitis / chemically induced
  • Hidradenitis Suppurativa / chemically induced*
  • Humans
  • Lithium / adverse effects*
  • Lithium / therapeutic use
  • Psoriasis / chemically induced
  • Skin / drug effects


  • Lithium