Huge pericardial effusion with subcutaneous emphysema, pneumomediastinum and pneumopericardium in anorexia nervosa.
Huge pericardial effusion with subcutaneous emphysema, pneumomediastinum and pneumopericardium in anorexia nervosa. Acta Cardiol. 2017 Aug 11;:1-2 Authors: Docx MKF, Paelinck BP PMID: 28799456 [PubMed - as supplied by publisher]
Anorexia nervosa is an eating disorder, which affects particularly adolescents. The media coverage of feminine thinness is demonstrated as a token of beauty, with diet as a tool to achieve this. However, diets are not enough to explain the numerous cases. ...
DiscussionWe speculate that low oxytocin levels may contribute to alexithymia in women with anorexia nervosa.
ConclusionFBT is the most cost‐effective among treatment arms, whereas AFT was not cost‐effective compared to no intervention. Further research is required to verify this result.
CONCLUSION: Nutritional decline and onset or deterioration of CAS are difficult to predict. Careful measuring and monitoring of nutritional parameters and CAS in all patients seems to be necessary in order to identify those patients in need of enteral/parenteral nutrition support. PMID: 29027398 [PubMed - in process]
Authors: Kitagawa M, Yamanaka Y, Adachi T, Ito J, Fukase K, Ohta I, Katagiri T Abstract Herein, we report on an 82-year-old woman who presented with anorexia. The patient had hyponatremia with preserved urinary osmotic pressure. T1-weighted magnetic resonance imaging (MRI) showed a lack of high signal intensity (SI) in the posterior pituitary lobe. Based on the patient's high levels of N-terminal prohormone of brain natriuretic peptide (NT-proBNP), heart failure was suspected. The heart failure may have caused arginine vasopressin (AVP) secretion. The depletion of AVP secretory granules may therefore cause the post...
In conclusion, respiratory gated chest 4D-CT allows for combined morphologic and functional image analysis, which can provide new insight into functional impairment and individual treatment planning. PMID: 29023143 [PubMed - as supplied by publisher]
This hypothesis suggest that starvation-induced ketosis, which leads to a fundamental biochemical change in the metabolic fuel supply of the brain, is uniquely anxiolytic and rewarding to patients prone to AN. Ketosis can easily be replicated by a unique diet marked by high fat, moderate protein, and very low carbohydrate. This diet, known as a ketogenic diet (KGD) mimics starvation, thus allowing the patient to experience the anxiolytic state of ketosis, and yet avoid the morbidity of starvation.
Conclusions The optimal parameters to achieve complete amenorrhoea included early adolescence, chronic starvation and 25% weight loss. The new ABA model allows studying the effects of chronic AN on underlying behavioural, hormonal and brain pathobiology.
Abstract A rare case combining pneumothorax, pneumomediastinum, pneumopericardium, pneumoperitoneum, pneumorrhachis, air in retroperitoneum and extensive subcutaneous emphysema simultaneously in a severely anorectic male with BMI 9.2 (22.8 kg) and multiple vomitings is presented. This unusual condition was treated successfully with conservative medical approach in a specialized somatic unit for anorexia nervosa.
A 25-year-old woman presented to the emergency department after 17 h of persistent epigastric pain, severe abdominal distention and profuse vomiting. The vomitus had no blood or bile. No passing of stool or gas was evident after onset of symptoms. She had a 10-year history of untreated anorexia nervosa. The patient was afebrile, agitated and refused abdominal palpations upon physical examination. Full blood count, general biochemistry, amylase and lipase results were unremarkable. Abdominal X-ray showed gastroptosis, gastric emphysema and retention causing bowel displacement and obstruction and intestinal pneumatosis (Figu...