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2021, Number 2

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Rev Fac Med UNAM 2021; 64 (2)

Clinical Characteristics of Extreme Anorexia Nervosa. A Case Report

Morales AMF, Galván SG
Full text How to cite this article

Language: Spanish
References: 9
Page: 26-30
PDF size: 169.35 Kb.


Key words:

Anorexia nervosa, medical complications, eating disorders.

ABSTRACT

Anorexia nervosa is currently considered a disease of great impact due to its association with malnutrition. It occurs mainly in women, adolescents and young adults. The severity is defined by BMI. It is a multifactorial disease, with great influence of the cultural environment, biological, family and personal aspects. No system in the body is spared from the adverse sequelae of these illnesses, especially as anorexia nervosa becomes more severe and chronic. We review the medical complications that are associated with extreme anorexia nervosa. It is also considered as a disease with a high morbidity and mortality rate, due to an increase of up to 6 times the risk of death and the multiple medical complications associated with the disease. Hence, it is essential to increase health resources, reinforce information in first-contact doctors to identify this condition, and increase factors of good prognosis such as early patient care.


REFERENCES

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  2. American Psychiatric Association. Manual Diagnóstico y Estadístico de los Trastornos Mentales. Quinta edición (DSMV). American Psychiatric Association. Arlington; 2013. p. 338-9.

  3. Gibson D, Workman C, Mehler PS. Medical Complications of Anorexia Nervosa and Bulimia Nervosa. Psychiatr Clin North Am. 2019 Jun;42(2):263-74.

  4. Mehler PS, Blalock DV, Walden K, Kaur S, McBride J, Walsh K, Watts J. Medical findings in 1,026 consecutive adult inpatient – residential eating disordered patients. Int J Eat Disord. 2018;51:305-13.

  5. Arcelus J, Mitchell AJ, Gales J, Nielsen S. Mortality Rates in Patients With Anorexia Nervosa and Other Eating Disorders: A Meta-analysis of 36 Studie. Arch Gen Psychiatry. 2011;68(7):724-31.

  6. Fichter M, Quadflieg N, Mortality in Eating Disorders - Results of a Large Prospective Clinical Longitudinal Study. Int J Eat Disord. 2016;49:391-401.

  7. Lawson EA, Miller K. Diciembre, 2019. Anorexia nervosa: Endocrine complications and their management. Recuperado de:https://www.uptodate.com/contents/anorexianervosa- endocrine-complications-and-their-management/ contributors

  8. Mehler P, Yager J, Solomon D. Febrero 2019. Anorexia nervosa in adults and adolescents: medical complications and their management. Recuperado de: https://www.uptodate. com/contents/anorexia-nervosa-in-adults-and-adolescentsmedical- complications-and-their-management#!

  9. Hoang U, Goldacre M, James A. Mortality following hospital discharge with a diagnosis of eating disorder: national record linkage study, England, 2001-2009. Int J Eat Disord. 2014 Jul;47(5):507-15.




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Rev Fac Med UNAM . 2021;64