Anorexia nervosa artefacta
نویسندگان
چکیده
A 14 year old girl presented with an 8 month history of increasing weight loss, peaking at approximately 10%; and disordered eating, increasing pallor, intermittent fevers and lethargy on the background of a complex social situation, anxiety issues and known congenital heart disease. This occurred on the background of known previous issues regarding desire for thinness in her mother. An outpatient referral had already been made by the GP for concerns of weight loss and food restriction. At presentation she was a pale, sick, emaciated and frail looking adolescent girl. She was afebrile with tachycardia (140 bpm), tachypnoiec (RR 40 breath per min), normotensive with no significant postural drop. Further careful physical examination revealed a cardiac murmur with hyperkinetic apex beat, tender hepatosplenomegaly, red splinter haemorrhages and red macular lesions on her neck, arms and abdomen. Echocardiogram confirmed extensive vegetative lesions consistent with infective endocarditis and she was transferred for cardiac surgery. As her acute issues were being managed, the aetiology of her weight loss was explored and the possible co-existence of an eating disorder was thoroughly assessed but found not to be implicated in this case.
منابع مشابه
Evaluation of Family Relations, Self-control and Alexithamia as the Predictors of Anorexia Nervosa
Aim: A mental disorder known as anorexia is a relatively common disorder in the recent decades and has affected many people, especially young girls. This study aims to predict the relationship between anorexia as the independent variable and family relations, self control, and alexithymia as predictor variables. Methods: This study is a descriptive-correlational type. The study sample consiste...
متن کاملAnorexia nervosa – medical and sociocultural problem. Patient with anorexia nervosa – case report
Anorexia nervosa is one of the important problems of the adolescent gynecology. We report on a patient aged 17 years with anorexia nervosa associated with gynecological problems. This paper presents sociocultural and medical aspects of anorexia nervosa.
متن کاملControlled family study of anorexia nervosa and bulimia nervosa: evidence of shared liability and transmission of partial syndromes.
OBJECTIVE Lifetime rates of full and partial anorexia nervosa and bulimia nervosa were determined in first-degree relatives of diagnostically pure proband groups and relatives of matched, never-ill comparison subjects. METHOD Rates of each eating disorder were obtained for 1,831 relatives of 504 probands on the basis of personal structured clinical interviews and family history. Best-estimate...
متن کاملRunning Head: IMPLICATION OF PERSONALITY TRAITS IN TREATMENT OF ANOREXIA NERVOSA Shared Neurological and Psychological Traits of Anorexia Nervosa and Obsessive- Compulsive Personality Disorder: The Implications in Treatment of Anorexia Nervosa
متن کامل
Time trends in eating disorder incidence.
BACKGROUND During the years 1988-1993 the primary care incidence of anorexia nervosa in the UK remained stable, but the incidence of bulimia nervosa increased threefold. AIMS To determine whether the incidence of anorexia nervosa remained stable, and that of bulimia nervosa continued to increase, in the years 1994-2000. METHOD The General Practice Research Database was screened for new case...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 1 شماره
صفحات -
تاریخ انتشار 2013