Premenopausal osteoporosis, an overlooked consequence of anorexia nervosa.

Clinical considerations in premenopausal osteoporosis.

Osteoporosis can occur at any age. In premenopausal osteoporosis, full achievement of peak bone mass may be curtailed, and accelerated bone loss may occur in young adulthood. Premenopausal osteoporosis may be associated with chronic glucocorticoid therapy, prolonged amenorrhea, anorexia nervosa, rheumatoid arthritis, and diseases that affect calcium and vitamin D metabolism. Lesser degrees of b...

Bilateral insufficiency fracture of the femoral neck in a male patient with anorexia nervosa.

Anorexia nervosa is a risk factor for secondary osteoporosis. Anorexia nervosa-related metabolic disturbances lead to disminished bone resistance and increased risk of fractures. We report a case of bilateral femoral neck fracture as the first symptom of anorexia nervosa in a male patient.

Suspected myocardial infarction: early diagnostic value of analgesic requirements.

1 Morgan HC, Russell GFM. Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four year follow-up study of 41 patients. Psychol Aled 1975 ;5:355-71. 2 Marcus R, Kosek J, Pfefferbaum A, Horning S. Age-related loss of trabecular bone in premenopausal women: a biopsy study. Calcif Tissue Int 1983;35:406-9. 3 Garn SM, Kangas J. Protein intake, bo...

Management options for osteoporosis in a patient with anorexia nervosa

[Menstrual dysfunction in anorexia nervosa].

One of the symptoms of anorexia nervosa (a.n.) is cessation of pubescence or secondary amenorrhea. Their origin in anorexia nervosa is multifactorial, partly resulting from starvation-induced hipogonadism. Amenorrhea in a.n. may persist despite weight recovery and is often related to osteoporosis. The authors' present causes of amenorrhea and its persisting in a.n., pointing to the factors infl...