Severe hyponatraemia secondary to psychogenic polydipsia in a patient with anorexia nervosa

2021 ◽  
Author(s):  
Mushira Che Mokhtar ◽  
Lauren Chong ◽  
Gail Anderson ◽  
Christine Wearne ◽  
Linette Gomes ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Psychogenic Polydipsia ◽  
Severe Hyponatraemia

scholarly journals Hyponatremia caused by water intoxication: successful treatment of psychiatric disturbances with olanzapine and fluoxetine

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Maris Taube
Keyword(s):  
Anorexia Nervosa ◽  
Body Dysmorphic Disorder ◽  
Water Intoxication ◽  
Psychiatric Problem ◽  
Psychogenic Polydipsia ◽  
Beneficial Effects ◽  
Psychiatric Disturbances ◽  
History Of ◽  
Clonic Seizures ◽  
Acute Hyponatremia

ABSTRACT Hyponatremia is a frequent, yet often unrecognized result of water intoxication caused by psychogenic polydipsia in patients with psychiatric disorders such as schizophrenia and anorexia nervosa. The consequences of hyponatremia may include cerebral edema with tonic–clonic seizures and, in extreme cases, death. In cases of hyponatremia seen in psychiatric practices, the use of psychotropic drugs is often necessary to address both the underlying psychiatric problem and reduce the hyponatremia. Therefore, a patient’s clinical condition, the risk of side effects, the possible effect of the medication on hyponatremia and a history of prior medication use should be considered when selecting appropriate psychotropics. The present clinical case details the beneficial effects of olanzapine and fluoxetine in treating a patient with anorexia nervosa and body dysmorphic disorder experiencing acute hyponatremia, and the stable effect the medications achieved over a period of 2.5 years of maintenance therapy.

Psychogenic polydipsia in a patient with anorexia nervosa

1985 ◽  
Vol 6 (5) ◽  
pp. 404-406 ◽  
Author(s):  
Kathleen M. Myers ◽  
Mark Scott Smith
Keyword(s):  
Anorexia Nervosa ◽  
Psychogenic Polydipsia

Iatrogenic Water Intoxication in Psychogenic Polydipsia

1981 ◽  
Vol 26 (2) ◽  
pp. 148-149 ◽  
Author(s):  
J. R. E. Davis ◽  
Moira McNeill ◽  
J. W. Millar
Keyword(s):  
Female Patient ◽  
Hypertonic Saline ◽  
Complete Recovery ◽  
Water Intoxication ◽  
Careful Monitoring ◽  
Psychogenic Polydipsia ◽  
Severe Hyponatraemia ◽  
Excessive Intake

The case is reported of a 63-year-old female patient with psychogenic polydipsia. As part of investigations she received synthetic vasopressin, and developed severe hyponatraemia due to continued excessive intake of water. She became decorticate, but made a complete recovery on treatment with hypertonic saline. Careful monitoring is required when vasopressin is used in the investigation of polydipsia which may be psychogenic.

scholarly journals Management of Severe Rhabdomyolysis and Exercise-Associated Hyponatremia in a Female with Anorexia Nervosa and Excessive Compulsive Exercising

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Marwan El Ghoch ◽  
Simona Calugi ◽  
Riccardo Dalle Grave
Keyword(s):  
Anorexia Nervosa ◽  
Case Report ◽  
Behavioural Therapy ◽  
Serum Creatine Kinase ◽  
Water Restriction ◽  
Psychogenic Polydipsia ◽  
First Case ◽  
Cognitive Behavioural ◽  
Eating Disorder Psychopathology ◽  
Behavioural Strategies

This case report describes the management of a 49-year-old female with restricting-type anorexia nervosa and excessive compulsive exercising associated with rhabdomyolysis, high levels of serum creatine kinase (CK) (3,238 U/L), and marked hyponatremia (Na+: 123 mEq/L) in the absence of purging behaviours or psychogenic polydipsia; it is the first case report to describe exercise-associated hyponatremia in a patient with anorexia nervosa. The patient, who presented with a body mass index (BMI) of 13.4 kg/m2, was successfully treated by means of an adapted inpatient version of an enhanced form of cognitive behavioural therapy (CBT-E). Within a few days, careful water restriction, solute refeeding, and the specific cognitive behavioural strategies and procedures used to address the patient’s excessive compulsive exercising and undereating produced a marked reduction in CK levels, which normalised within one week. Exercise-associated hyponatremia also gradually improved, with serum sodium levels returning to normal within two weeks. The patient thereby avoided severe complications such as cerebral or pulmonary oedema or acute renal failure and was discharged after 20 weeks of treatment with a BMI of 19.0 kg/m2and improved eating disorder psychopathology.

Psychogenic Polydipsia in a Woman With Anorexia Nervosa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Nare Torosyan ◽  
Dean Spencer ◽  
Sofia Penev ◽  
Robert G. Bota
Keyword(s):  
Anorexia Nervosa ◽  
Psychogenic Polydipsia

Strep Throat Can Cause Anorexia Nervosa, OCD

2005 ◽  
Vol 38 (20) ◽  
pp. 64
Author(s):  
KATE JOHNSON
Keyword(s):  
Anorexia Nervosa ◽  
Strep Throat

Rückfälle im Krankheitsverlauf der Anorexia nervosa

1999 ◽  
Vol 27 (3) ◽  
pp. 207-219 ◽  
Author(s):  
B. Lay ◽  
M. H. Schmidt
Keyword(s):  
Anorexia Nervosa

Eine internationale neuropsychologische Testbatterie für Kinder, Jugendliche und Erwachsene mit Anorexia nervosa – die deutsche Adaptation des Ravello Profils

2013 ◽  
Vol 41 (6) ◽  
pp. 371-381 ◽  
Author(s):  
Betteke Maria van Noort ◽  
Ernst Pfeiffer ◽  
Ulrike Lehmkuhl ◽  
Viola Kappel
Keyword(s):  
Anorexia Nervosa

Fragestellung: Erwachsene mit Anorexia nervosa (AN) zeigen vor und nach Gewichtsrehabilitation Beeinträchtigungen kognitiver Funktionen. Im Bereich der kindlichen und früh-adoleszenten AN besteht ein großer Bedarf an strukturierten Untersuchungen der kognitiven Funktionen. Bisherige Studien weisen methodische Inkonsistenzen bezüglich der Testauswahl und der Operationalisierung kognitiver Funktionen auf, die die Interpretierbarkeit und Vergleichbarkeit der Befunde deutlich einschränken. Um diese Inkonsistenzen zu verringern, wurde eine neuropsychologische Testbatterie, das sogenannte „Ravello Profil“ entwickelt, das bisher jedoch nicht für den deutschen Sprachraum zur Verfügung steht. Die vorliegende Arbeit stellt daher eine für den deutschen Sprachraum adaptierte Version des Ravello Profils vor und überprüft dessen Anwendbarkeit im Kindes- und Jugendalter. Methodik: Das Ravello Profil wurde für den deutschen Sprachraum adaptiert. Anhand von drei Fallbeispielen wurde die Durchführbarkeit des Ravello Profils bei Kindern und Jugendlichen mit AN überprüft. Ergebnisse und Schlussfolgerungen: Die Fallbeispiele verdeutlichen die Anwendbarkeit des adaptierten Ravello Profils bei Kindern und Jugendlichen mit AN. Das Ravello Profil ermöglicht somit auch im deutschen Sprachraum methodisch konsistente Untersuchungen kognitiver Funktionen bei Kindern, Jugendlichen und Erwachsenen mit AN. Mithilfe des Ravello Profils kann die Rolle kognitiver Funktionen bei der Entstehung einer AN über eine umfassende Altersspanne systematisch untersucht werden.

Perception of Autonomy and Connectedness Prior to the Onset of Anorexia Nervosa and Bulimia Nervosa

2012 ◽  
Vol 40 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Julia Huemer ◽  
Maria Haidvogl ◽  
Fritz Mattejat ◽  
Gudrun Wagner ◽  
Gerald Nobis ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Risk Factor ◽  
Bulimia Nervosa ◽  
Family Environment ◽  
Significant Influence ◽  
Diagnostic Interview ◽  
Individual Autonomy ◽  
Mothers And Fathers ◽  
Image Test ◽  
Restrictive Type

Objective: This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. Methods: A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Results: Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum – sister pairs sum comparison – of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Conclusions: Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.

Das internetbasierte Anorexia-nervosa-Register für jugendliche Patienten in Deutschland

2017 ◽  
Vol 45 (5) ◽  
pp. 357-359 ◽  
Author(s):  
Beate Herpertz-Dahlmann ◽  
Johannes Hebebrand
Keyword(s):  
Anorexia Nervosa
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