Osteopenia and bone fractures in a man with anorexia nervosa and hypogonadism.
Women with anorexia nervosa have reduced skeletal mass. Both anorexia and osteopenia are less common in men. We describe a 22-year-old man with anorexia nervosa and severe osteopenia involving both cortical and trabecular bone who developed a pelvic fracture and multiple vertebral compression fractures. He was found to have secondary hypogonadotropic hypogonadism that was reversible with weight gain. This case illustrates the need to consider osteopenia as a potential complication of anorexia nervosa in males as well as females.
D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications* / Q000378:metabolism; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D005598:Fractures, Spontaneous / Q000209:etiology*; D006062:Gonadotropins / Q000097:blood; D006728:Hormones / Q000097:blood; D006801:Humans; D007006:Hypogonadism / Q000209:etiology / Q000378:metabolism*; D008297:Male; D011630:Pubic Bone / Q000293:injuries; D011859:Radiography; D011877:Radionuclide Imaging; D013904:Thoracic Vertebrae / Q000293:injuries
D006062:Gonadotropins; D006728:Hormones