[Acute ischemia of an arm manifesting Buerger's disease. Predisposing role of anorexia nervosa].
Peripheral vasomotor disorders, notably acrocyanosis, are frequent in anorexia nervosa, but ischaemic accidents are unknown. We report the case of a 32-year-old woman with a 10-year history of anorexia nervosa, who developed acute ischaemia in one of her upper limbs. In this particular case several aetiological factors may be considered: Buerger's disease, of course, as the patient smoked and had an abnormal arteriography, but also hypercholesterolaemia, thrombocytosis and disorders of platelet aggregation.
Service de Médecine Interne B-Endocrinologie, Hôpital du Cluzeau, Limoges.
J M
JM
Comas
F
F
Archambeaud-Mouveroux
M P
MP
Teissier
M C
MC
Huc
M
M
Laskar
D000208:Acute Disease; D000328:Adult; D000792:Angiography; D000856:Anorexia Nervosa / Q000150:complications*; D001132:Arm / Q000098:blood supply*; D001791:Blood Platelet Disorders / Q000150:complications; D005260:Female; D006801:Humans; D006937:Hypercholesterolemia / Q000150:complications; D007511:Ischemia / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D013919:Thromboangiitis Obliterans / Q000150:complications*; D013922:Thrombocytosis / Q000150:complications
Ischéme aiguë d'un membre supérieur révélatrice d'une maladie de Buerger. Rôle favorisant d'une anorexie mentale.