Anorexia Nervosa and Refeeding Syndrome. A Case Report
| Autor: | Takeshi Yamasaki, Hidetaka Tanaka, Hiroshi Tamai, Yukiko Kambara, Kohji Azumagawa, Naohisa Kawamura, Yoshito Takenaka |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Pediatrics Anorexia Nervosa Adolescent Multiple Organ Failure Water-Electrolyte Imbalance lcsh:Medicine heart failure Refeeding syndrome lcsh:Technology General Biochemistry Genetics and Molecular Biology Edema Humans Medicine Treatment Failure Hypoalbuminemia lcsh:Science disseminated intravascular coagulation General Environmental Science Case Study lcsh:T business.industry lcsh:R liver failure Syndrome General Medicine medicine.disease Surgery Purpura Anorexia nervosa (differential diagnoses) Heart failure lcsh:Q Female medicine.symptom refeeding syndrome business Body mass index Weight gain |
| Zdroj: | The Scientific World Journal The Scientific World Journal, Vol 7, Pp 400-403 (2007) |
| ISSN: | 1537-744X |
| DOI: | 10.1100/tsw.2007.78 |
| Popis: | This is a case story of a 14-year-old girl with severe anorexia nervosa (AN) (158 cm, 28 kg, –44.1% ideal body mass index), admitted with purpura, edema, and general fatigue. We treated her carefully and paid particular attention to prevent development of refeeding syndrome (RS), and her body weight increased satisfactorily. However, RS (edema, hypoalbuminemia, and heart failure) occurred despite careful treatment. We used albumin and diuretics for treatment of RS, but severe liver damage resulted. RS was aggravated by the medical treatment. More attention should have been paid to her weight gain and medical treatment should have been initiated more slowly to prevent dramatic changes in the patient's fluid and electrolyte status. |
| Databáze: | OpenAIRE |
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