title: Hypertransaminasemia and hypophosphoremia in an adolescent with anorexia nervosa: an event to watch for.
abstract: BACKGROUND
  Anorexia Nervosa is a Psychiatric eating disorder of adolescence age with a high morbidity and mortality.
  
  
  METHODS
  We describe a common case of anorexia nervosa (AN) in a female adolescent complicated by less known conditions related to refeeding syndrome. At admission, the girl showed a mild hypercholesterolemia with progressive normalization of the values. The initial low hypertransaminasemia worsened after refeeding until very high levels and hypophosphoremia was also described. Only a controlled caloric intake and a specific electrolyte supplementation led to the improvement of hematologic values and the clinical condition of the patient.
  
  
  CONCLUSIONS
  Refeeding complications must be always suspected because of life-threatening risk. More attention should be paid not only to the acute state of the disease but also to the prevention and the management of refeeding-related manifestations.
authors.affiliation: Bambino Gesù Children's Hospital, Rome, Italy. mrosaria.marchili@opbg.net.
authors.forename: Maria Rosaria
authors.initials: MR
authors.lastname: Marchili
authors.affiliation: Bambino Gesù Children's Hospital, Rome, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Boccuzzi
authors.affiliation: Bambino Gesù Children's Hospital, Rome, Italy.
authors.forename: Anna Chiara
authors.initials: AC
authors.lastname: Vittucci
authors.affiliation: Bambino Gesù Children's Hospital, Rome, Italy.
authors.forename: Lelia Rotondi
authors.initials: LR
authors.lastname: Aufiero
authors.affiliation: Bambino Gesù Children's Hospital, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Vicari
authors.affiliation: Bambino Gesù Children's Hospital, Rome, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Villani
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D002149:Energy Intake; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D017674:Hypophosphatemia / Q000209:etiology* / Q000503:physiopathology; D055677:Refeeding Syndrome / Q000209:etiology* / Q000503:physiopathology; D018570:Risk Assessment; D012720:Severity of Illness Index; D000637:Transaminases / Q000097:blood*; D016896:Treatment Outcome; D015430:Weight Gain
chemical_list: D000637:Transaminases
keywords: Anorexia nervosa; Hypercholesterolemia in AN; Hypertransaminasemia in AN; Refeeding syndrome