title: Kwashiorkor: an unexpected complication to anorexia nervosa.
abstract: We present the case of a woman aged 48 years, diagnosed with anorexia nervosa (AN) at the age of 12. She was admitted to a highly specialised eating disorder facility with distended abdomen, muscular atrophy, ulcerative dermatitis, electrolyte derangements and low serum albumin. Her weight was 53.1 kg, corresponding to a body mass index (BMI) of 17.9 kg/m2After initial stabilisation, a therapeutic ascites puncture relieved the patient from 6500 mL of ascites. After 6 weeks of nutritional and diuretic treatment, the patient was discharged with a weight of 46.8 kg (BMI 15.7 kg/m2), without ascites and with healed ulcerations. The condition was consistent with kwashiorkor, a complication to malnutrition rarely seen in AN.
authors.affiliation: Department of Medical Endocrinology, Centre for Eating Disorder, Odense C, Denmark.
authors.forename: Camilla Viola Buskbjerg
authors.initials: CV
authors.lastname: Palm
authors.affiliation: Department of Medical Endocrinology, Centre for Eating Disorder, Odense C, Denmark.
authors.forename: Jacob Stampe
authors.initials: JS
authors.lastname: Frølich
authors.affiliation: Department of Endocrinology, Sydvestjysk Sygehus Esbjerg, Esbjerg, Denmark.
authors.forename: Lena Sønder
authors.initials: LS
authors.lastname: Snogdal
authors.affiliation: Department of Medical Endocrinology, Centre for Eating Disorder, Odense C, Denmark.
authors.forename: René Klinkby
authors.initials: RK
authors.lastname: Støving
mesh_terms: D000856:Anorexia Nervosa / Q000150:complications*; D001201:Ascites / Q000175:diagnosis / Q000209:etiology; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D006760:Hospitalization; D006801:Humans; D007732:Kwashiorkor / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D008875:Middle Aged; D012883:Skin Ulcer / Q000175:diagnosis / Q000209:etiology; D013851:Thinness / Q000175:diagnosis / Q000209:etiology*