[Severe acute liver and pancreas damage in anorexia nervosa].
Anorexia nervosa, a syndrome most commonly affecting young women, is characterized by weight less than 85% of weight that is considered normal for that persons age and height, distorted body image, and fear of becoming obese, and its mortality is up to 9%. We present a case of a 33-year-old woman with a 9-year history of anorexia nervosa. She admitted to our institution with decreased mentality, and her body mass index was 11.5 kg/m2 of the time admission. Initial aminotransferase level was severely elevated, but it was normalized solely with improved nutrition and weight gain. Five and sixteen days after the admission urinary tract infection and elevation of pancreatic enzymes occurred. They were successfully treated with antibiotics and nutritional support. Fifty seven days after the admission, she discharged. We report a case of acute hepatitis and pancreatitis treated with nutritional rehabilitation in a patient with severe anorexia nervosa for the first time in Korea.
Park
Jung Ho
JH
Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
Lee
Tae Hee
TH
Cheon
Sang Lyeol
SL
Sun
Jae Hyung
JH
Choi
In Key
IK
Kim
Yong Seok
YS
Choi
Young Woo
YW
Kang
Young Woo
YW
D000208:Acute Disease; D000328:Adult; D000410:Alanine Transaminase / Q000032:analysis; D000856:Anorexia Nervosa / Q000150:complications / Q000175:diagnosis*; D001219:Aspartate Aminotransferases / Q000032:analysis; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008049:Lipase / Q000032:analysis; D008107:Liver Diseases / Q000201:enzymology / Q000209:etiology* / Q000628:therapy; D044623:Nutrition Therapy; D010182:Pancreatic Diseases / Q000201:enzymology / Q000209:etiology* / Q000628:therapy; D015430:Weight Gain
D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase; D008049:Lipase