A case of anorexia nervosa (AN) is reported where heart failure occurred secondary to severe h ypophosphatemia despite oral phosphate supplementation. We recommend starting patients with AN on oral phosphate when refeeding is begun, monitoring serum phosphate every 1 to 2 days for at least the first
Anorexia nervosa and steroid withdrawal
โ Scribed by Morgan, John ;Lacey, J. Hubert
- Publisher
- Wiley (John Wiley & Sons)
- Year
- 1996
- Tongue
- English
- Weight
- 173 KB
- Volume
- 19
- Category
- Article
- ISSN
- 0276-3478
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โฆ Synopsis
We report a case of anorexia nervosa in a 14-year-old girl following withdrawal of oral prednisolone used in the treatment of asthma. The patient exhibited depressed affect and disturbance of body image prior to onset of anorexia. To the authors' knowledge this is the first report of anorexia nervosa precipitated by steroid withdrawal. The pathogenesis is discussed with reference to recent literature, considering both the physiological and psychological impact of steroid withdrawal. 0 1996 by lohn Wiley & Sons, lnc.
We record a case of anorexia nervosa precipitated by withdrawal of oral prednisolone in the treatment of bronchial asthma. To our knowledge, this is the first reported case of its kind. We propose a multifactorial explanation, based on the physiological effects of exogenous steroids and their psychological sequelae.
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