scholarly journals Title: Malnutrition from anorexia nervosa triggers severe complications of hereditary spherocytosis in an adolescent girl: A case report. Running Title: Anorexia Nervosa causes complications of hemoglobinopathy

2021 ◽  
Author(s):  
Aditi Trivedi ◽  
Zephyr Dworsky ◽  
Jenny Kim ◽  
Jennifer Yu ◽  
Maya Kumar
Keyword(s):  
Anorexia Nervosa ◽  
Case Report ◽  
Adolescent Girl ◽  
Viral Infections ◽  
Hereditary Spherocytosis ◽  
Severe Malnutrition ◽  
Life Threatening

Hemolytic crises and aplastic crises in hereditary spherocytosis (HS) are typically triggered by viral infections. We present the case of an adolescent with HS who developed unexpected and life threatening consequences of her hemoglobinopathy as a consequence of anorexia nervosa and severe malnutrition.

EPA-0734 - Severe liver dysfunction in a male with life-threatening anorexia nervosa: a case report

2014 ◽  
Vol 29 ◽  
pp. 1
Author(s):  
M. Basta ◽  
E. Koutentaki ◽  
M. Koulentaki ◽  
F. Mahr ◽  
A.N. Vgontzas
Keyword(s):  
Anorexia Nervosa ◽  
Case Report ◽  
Liver Dysfunction ◽  
Severe Liver ◽  
Severe Liver Dysfunction ◽  
Life Threatening

Zaburzenia kardiologiczne u 13-letniej pacjentki z jadłowstrętem psychicznym

2017 ◽  
Vol 21 (3) ◽  
Author(s):  
Beata Kucińska ◽  
Ewa Smereczyńska ◽  
Bożena Werner
Keyword(s):  
Body Weight ◽  
Anorexia Nervosa ◽  
Structural Changes ◽  
Systolic Function ◽  
Left Ventricular ◽  
Severe Malnutrition ◽  
Systemic Complications ◽  
Cardiac Abnormalities ◽  
Intense Fear ◽  
Life Threatening

Anorexia nervosa (AN) is an eating disorder characterized by an abnormally low body weight, intense fear of gaining weight and a distorted perception of body weight. This psychiatric disorder involves numerous systemic complications. Cardiac abnormalities are inherent with AN and they become more life-threatening as the anorexia nervosa becomes more severe. Anorexia nervosa has the highest mortality rate of all psychiatric disorders and the cardiac abnormalities are the leading cause of death because in AN structural, functional and rhythm-type changes can occur. The authors present the case of a 13-year-old girl with AN admitted to the hospital in serious general condition. Her major complaints were: fatigue and vertigo. Upon physical examination her nutritional status was estimated as severe malnutrition with BMI of 12.2 kg/m2. She was dehydrated, presented with bradycardia, muffled heart sounds and low blood pressure. Electrocardiography showed sinus rhythm with bradycardia and repolarization disturbances. Transthoracic echocardiography revealed pathological amount of fluid in pericardial sac, reduced left ventricular mass and systolic function, with decreased ejection fraction (EF – 49%) and shortening fraction (SF – 24%), as well as reduced systolic function of right ventricle with decreased fractional area change (FAC – 24%). She also presented the structural changes of atrio-ventricular valves: mitral valve prolapse (MVP), as well as slightly prolapsing leaflets of tricuspid valve with regurgitations. Improvement in cardiac function was observed with weight restoration. The authors highlight the importance of echocardiography check-up in patients with anorexia nervosa.

scholarly journals Experience of Management of Anorexia Nervosa Patients With Extremely Severe Malnutrition In A Transdisciplinary Eating Disorders Inpatient Unit

2020 ◽  
Author(s):  
Marie Guinhut ◽  
Jean-Claude Melchior ◽  
Nathalie Godart ◽  
Mouna Hanachi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Therapeutic Alliance ◽  
Medical Care ◽  
Acute Care ◽  
Severe Malnutrition ◽  
Medical Unit ◽  
Life Threatening ◽  
Low Bmi ◽  
First Time

Abstract BackgroundWe describe a transdisciplinary medical unit, referral center for the management of anorexia nervosa (AN) adult patients with extremely severe malnutrition.MethodHistory, organization and activity of the unit are described. Characteristics of all adult AN patients admitted for the first time in the unit between November 1997 and January 2014 and medical care provided are detailed, before discussing the value of such a unit.ResultsThe unit was established as an independent department in 2004 and has 180 to 200 admissions per year. The patients hospitalized in the department are clinically serious and unstable because of life-threatening somatic complications due to a low BMI (< 13 kg/m²). They are referred on criteria of somatic severity. They often had multiple hospitalizations in other acute care hospitals before being supported in the unit. Among a cohort of 386 adult AN patients admitted for the first time in the unit, mean age was 29.4 (± 11.5) years, mean BMI was 12.7 (± 2.2) kg/m² and 78.2% of patients had already been hospitalized in other hospitals.ConclusionThis specialized transdisciplinary unit where physician nutritionists and psychiatrists coordinate medical care together, allow a better understanding and management of extreme malnutrition associated with AN. Thanks to their expertise, care teams are less critical and less rejecting towards patients. Thus, therapeutic alliance is optimized.

scholarly journals Experience of Management of Anorexia Nervosa Patients With Extremely Severe Malnutrition In A Transdisciplinary Eating Disorders Inpatient Unit

2020 ◽  
Author(s):  
Marie Guinhut ◽  
Jean-Claude Melchior ◽  
Nathalie Godart ◽  
Mouna Hanachi
Keyword(s):  
Anorexia Nervosa ◽  
Therapeutic Alliance ◽  
Medical Care ◽  
Severe Malnutrition ◽  
Supportive Psychotherapy ◽  
Medical Unit ◽  
Therapeutic Program ◽  
Life Threatening ◽  
Low Bmi ◽  
First Time

Abstract Background: We describe a transdisciplinary medical unit, referral center for the management of anorexia nervosa (AN) adult patients with extremely severe malnutrition. Method: History, organization and activity of the unit are described. Characteristics of all adult AN patients admitted for the first time in the unit between November 1997 and January 2014 and medical care provided are detailed, before discussing the value of such a unit.Results: The unit was established as an independent department in 1997 and has 180 to 200 admissions per year. The patients hospitalized in the department are clinically serious and unstable because of life-threatening somatic complications due to a low BMI (< 13 kg/m²). They are referred on criteria of somatic severity. They often had multiple hospitalizations in other acute care hospitals before being supported in the unit. Among a cohort of 386 adult AN patients admitted for the first time in the unit, mean age was 29.4 (± 11.5) years, mean BMI was 12.7 (± 2.2) kg/m² and 78.2% of patients had already been hospitalized in other hospitals. Intensive medical care, both somatic and psychiatric, are provided thanks to a transdisciplinary therapeutic program, where objectives are to optimize care and enable a therapeutic alliance between patient and caregiver, The goals of treatment are to medically stabilize the patient, to initiate progressive refeeding and to start supportive psychotherapy before being transferred to a psychiatric eating disorder unit.Conclusion: This specialized transdisciplinary unit where physician nutritionists and psychiatrists coordinate medical care together, allow a better understanding and management of extreme malnutrition associated with AN. Thanks to their expertise, care teams are less critical and less rejecting towards patients. Thus, therapeutic alliance could be optimized.

scholarly journals Unusual Presentation of Uncommon Disease: Anorexia Nervosa Presenting as Wernicke-Korsakoff Syndrome—A Case Report from Southeast Asia

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Raheel Mushtaq ◽  
Sheikh Shoib ◽  
Tabindah Shah ◽  
Mudasir Bhat ◽  
Randhir Singh ◽  
...  
Keyword(s):  
Mental Health ◽  
Anorexia Nervosa ◽  
Case Report ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Hyperemesis Gravidarum ◽  
Severe Malnutrition ◽  
Pyloric Obstruction ◽  
Korsakoff Syndrome ◽  
Uncommon Disease

Anorexia nervosa presenting as Wernicke-Korsakoff syndrome is rare. The causes of Wernicke-Korsakoff syndrome are multiple like alcohol abuse, thyrotoxicosis, haemodialysis, severe malnutrition because of gastric carcinoma and pyloric obstruction, hyperemesis gravidarum, and prolonged parenteral feeding. We report a case of anorexia nervosa, who presented with Wernicke's encephalopathy and progressed to Korsakoff's syndrome. Knowledge, awareness, and early intervention of anorexia nervosa by mental health professionals can prevent development of Wernicke-Korsakoff syndrome.

scholarly journals Hypokalemia-Induced Ventricular Tachycardia in a Patient with Anorexia Nervosa: A Case Report

2021 ◽  
Vol 7 (3) ◽  
pp. 1-4
Author(s):  
Yu-Wei Fang ◽  
Keyword(s):  
Emergency Department ◽  
Anorexia Nervosa ◽  
Ventricular Tachycardia ◽  
Case Report ◽  
Sudden Death ◽  
Sudden Change ◽  
General Weakness ◽  
Life Threatening

Sudden death is the main cause of mortality in patients with anorexia nervosa. Contribution form Life-threatening arrhythmia was highly suspected. Herein, we describe the case of a 20-year-old female who presented to the emergency department with general weakness and vertigo followed by sudden change in consciousness and syncope.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Large Vulvar Lipoma in an Adolescent: A Case Report

JMS SKIMS ◽  
2011 ◽  
Vol 14 (1) ◽  
pp. 28-29
Author(s):  
R K Maurya ◽  
Pawan Kumar Singh ◽  
Sandeep Singh
Keyword(s):  
Case Report ◽  
Epithelial Cell ◽  
Adolescent Girl ◽  
Rare Case ◽  
Mesenchymal Cell ◽  
Benign Tumors ◽  
Melanocytic Tumors

Lipomas of vulva have been reported only rarely. Benign tumors of the vulva are normally classified according to their origin as epithelial cell tumors (e.g., keratinocytic, adnexal and ectopic tumors), or mesenchymal cell tumors (e.g., vascular, fibrous, muscular, neural, adipose and melanocytic tumors). Vulvar lipomas need to be differentiated from liposarcomas, which are rare but are very similar to lipomas clinically. Here we present a rare case of large vulvar lipoma in an adolescent girl. JMS 2011;14(1):28-29

A Patient with Anorexia Nervosa who Accidentally Swallowed a Spoon:A Case Report

2010 ◽  
Vol 61 (1) ◽  
pp. 41-45
Author(s):  
Noriyasu Chika ◽  
Tatsuya Miyazaki ◽  
Youzou Yokoyama ◽  
Tadashi Kitaoka ◽  
Toru Ishiguro ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Case Report
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