Pericardial Effusions in Adolescent Girls With Anorexia Nervosa: Clinical Course and Risk Factors

Autor:	Philippe Vandenberghe, Luc Mertens, Annik Simons, José Ramet, Marc Gewillig, Martine K. F. Docx, Joost Weyler
Rok vydání:	2010
Předmět:	medicine.medical_specialty Pathology Anorexia Nervosa Adolescent Anorexia Pericardial effusion Asymptomatic Pericardial Effusion Belgium Risk Factors Weight loss Internal medicine medicine Humans Prospective Studies Child Prospective cohort study business.industry Incidence Incidence (epidemiology) Case-control study General Medicine medicine.disease Psychiatry and Mental health Clinical Psychology Echocardiography Anorexia nervosa (differential diagnoses) Case-Control Studies Multivariate Analysis Linear Models Female medicine.symptom business
Zdroj:	Eating Disorders. 18:218-225
ISSN:	1532-530X 1064-0266
DOI:	10.1080/10640261003719484
Popis:	The aim of this study was to evaluate cardiac, biochemical and endocrine differences between female adolescents with anorexia nervosa (AN) with and without pericardial effusions. We studied 128 female adolescents (9.8-17.7 years) with anorexia nervosa (AN) diagnosed according to DSM-IV (American Psychiatric Association, 1994) criteria. They all underwent an echocardiographic evaluation. In 29 patients (22.2 %) a pericardial effusion (ranging betweenor= 0.35-2.5 cm) was noted. None of the patients were clinically symptomatic. After 3 months of refeeding, the effusions disappeared in 18/29 patients while in 7/29 patients a pericardial effusion0.3 cm persisted. Risk factors for development of effusions were a BMIor= 13,5 kg/m(2), weight lossor= 25% and IGF-1-levelor=100 ng/ml. Pericardial effusions are common in adolescent AN patients. They are mostly asymptomatic not requiring any intervention and spontaneously regress with refeeding. They are more common in the patients with the most significant weight loss.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2bea6bbf1a95a79c8e3989acf83c8059 https://doi.org/10.1080/10640261003719484 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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