The International journal of eating disorders · 2003
Pneumomediastinum simulating a panic attack in a patient with anorexia nervosa.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Karim Anita, Ahmed Shahid, Rossoff Leonard
Аннотация
OBJECTIVE: Pneumomediastinum is a rare complication of anorexia nervosa. Although the mechanism is unknown, severe malnutrition may affect lung mechanics by altering the connective tissue, predisposing to pneumomediastinum.
METHOD: We describe a young male with anorexia nervosa and panic disorder who presented with symptoms similar to those of a panic attack and was diagnosed with spontaneous pneumomediastinum.
RESULTS: This case illustrates the importance of considering pneumomediastinum in the differential diagnosis of panic attack in patients with eating disorders.
DISCUSSION: Although spontaneous pneumomediastinum has a generally benign course, it must be differentiated from the potentially life-threatening secondary pneumomediastinum due to an esophageal tear.
METHOD: We describe a young male with anorexia nervosa and panic disorder who presented with symptoms similar to those of a panic attack and was diagnosed with spontaneous pneumomediastinum.
RESULTS: This case illustrates the importance of considering pneumomediastinum in the differential diagnosis of panic attack in patients with eating disorders.
DISCUSSION: Although spontaneous pneumomediastinum has a generally benign course, it must be differentiated from the potentially life-threatening secondary pneumomediastinum due to an esophageal tear.