title: Refeeding syndrome in a young girl with anorexia nervosa.
abstract: We report the case of a 20-year-old anorexic girl (BMI=12.9), who was misdiagnosed the first time and developed severe electrolyte imbalances due to lack of awareness about refeeding syndrome. Few cases of RS have been reported in literature and protocols have been suggested for prevention and management of this syndrome, including the awareness of circumstances in which it is most likely to develop, refeeding slowly and building-up micronutrient content over several days. Improved awareness and understanding of refeeding syndrome along with a well-coordinated plan are vital in delivering safe and effective nutritional rehabilitation. We suggest a slow and gradual increase in nutrition along with nutritional counselling and psychotherapy.
authors.affiliation: Department of Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Om
authors.initials: O
authors.lastname: Parkash
authors.affiliation: Department of Medical Student, The Aga Khan University Hospital, Karachi.
authors.forename: Adil
authors.initials: A
authors.lastname: Ayub
authors.affiliation: Department of Medicine, The Aga Khan University Hospital, Karachi.
authors.forename: Shahab
authors.initials: S
authors.lastname: Abid
mesh_terms: D000284:Administration, Oral; D000856:Anorexia Nervosa / Q000150:complications / Q000178:diet therapy* / Q000534:rehabilitation; D015992:Body Mass Index; D005260:Female; D006801:Humans; D044623:Nutrition Therapy; D010288:Parenteral Nutrition / Q000379:methods*; D055677:Refeeding Syndrome / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D014882:Water-Electrolyte Balance; D055815:Young Adult