Eating disorder in a hemodialysis patient: case report.
Renal replacement therapy may encourage eating disorders in some patients. Hemodialysis requires patients to attend dialysis sessions three times per week, during which time they are weighed pre- and post-treatment, so the importance of limiting "fluid weight" gains to prevent fluid overload and elevated blood pressure are constantly reinforced by the dialysis team. Patients must also follow rigorous therapeutic dietary modifications to prevent the buildup of urea and harmful waste products between treatments. This is a case report of a 30-year-old man receiving renal replacement therapy who had anorexia nervosa of the bulimic subtype.
Desai
Anne-Marie
AM
Dialysis Clinic and Frances Stern Nutrition Center, Tufts-New England Medical Center, Boston, Massachusetts 02111, USA. amew@yahoo.com
Perrone
Ronald
R
Dwyer
Johanna
J
D000328:Adult; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects* / Q000523:psychology