Fortschritte der Medizin · 1992
[Anorexia nervosa in boys--a case report].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Severien C, Benden A, Menken U
Аннотация
BASIC REMARKS: In contrast to female adolescents, anorexia nervosa is rarely seen in male adolescents. In consequence, more comprehensive investigations are often carried out in the latter in a search of organic disease.
CASE: A boy of thirteen-and-a-half years was referred for investigation of anorexia, loss of weight, constipation, loss of concentration and depression. Physical examination revealed bradycardia, low blood pressure, hypothermia and various endocrinological disturbances: reduced somatomedin C, tri-iodine thyronine and subnormal thyroxine levels, and delayed TSH peaking after TRH stimulation. Examination of peripheral blood revealed leukopenia with underlying hyperplastic bone marrow. A CT scan revealed widening of the ventricles of the brain, and echocardiography a mitral valve prolapse.
CONCLUSIONS: Anorexia nervosa is accompanied by numerous pathological findings which, however, when weight is regained, return to normal without the need for further treatment. Before instituting invasive diagnostic measures in boys or male adolescents, consideration should be given to anorexia nervosa, and a psychiatric consultation sought.
CASE: A boy of thirteen-and-a-half years was referred for investigation of anorexia, loss of weight, constipation, loss of concentration and depression. Physical examination revealed bradycardia, low blood pressure, hypothermia and various endocrinological disturbances: reduced somatomedin C, tri-iodine thyronine and subnormal thyroxine levels, and delayed TSH peaking after TRH stimulation. Examination of peripheral blood revealed leukopenia with underlying hyperplastic bone marrow. A CT scan revealed widening of the ventricles of the brain, and echocardiography a mitral valve prolapse.
CONCLUSIONS: Anorexia nervosa is accompanied by numerous pathological findings which, however, when weight is regained, return to normal without the need for further treatment. Before instituting invasive diagnostic measures in boys or male adolescents, consideration should be given to anorexia nervosa, and a psychiatric consultation sought.