[Excessive water intake with intoxication as a manifestation of anorexia nervosa].
A case of anorexia nervosa revealed by water intoxication with severe hyponatremia is reported after a search of the literature demonstrated the rarity of such cases. Pathophysiological mechanisms involved are discussed. Hospitalization in a unit for adolescents in which pediatricians and psychiatrists work together allowed both prompt treatment of metabolic disorders and early management of anorexia nervosa, which is associated with improved prognosis.
Gilbert
B
B
Service Pédiatrie 1, CHRU Dupuytren, Limoges.
Roche
J F
JF
Palomera
S
S
De Lumley
L
L
D000293:Adolescent; D000296:Adolescent Psychiatry; D000856:Anorexia Nervosa / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003663:Decision Trees; D003937:Diagnosis, Differential; D005260:Female; D006760:Hospitalization; D006801:Humans; D007010:Hyponatremia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014869:Water Intoxication / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy