死亡したAnorexia Nervosaの1症例

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概要

• 論文の詳細を見る

• This report deals with a girl who was diagnosed at the age of 12 years and 5 months as haivng anorexia nervosa. She eventually lapsed into a semicoma which lasted 3 weeks and died at the age of 14 years and 11 months after haivng been treated in hospitals by pediatricians, psychosomatic physicians and psychiatrists respectively.The principal autopsy findings were extreme emaciation (height 148 cm, body weight 20 kg, fatty liver, suspicion of pellagra), and acute hepatitis with marked jaundice and neagtive Auantigen. The hypothalamic region was microscopically normal. Cortical atrophy of the adrenal glands was found but the other endocrine glands normal.It should be noted that there were different opinions regarding the prognosis of anorexia nervosa and that there is a possible relationship between the different opinions and the characteristisc of the disease itself. Anorexia nervosa differs from other neutrotic disorders in respect to the secodnary somatic damages top the patient. It is therefore of the utmost importance that a veriety of procedures be used in an attempt to make such patients take food again.In the present case, from a retrospective viewpoint, doctors should have established more difinite goals for treatmebnt, giving priority to making the patient take the necessary foods. In order to successed in this treatment, more resolute attitudes should have been adopted toward shaping food taking behavior.At present, more effects need to be made to elaborate such procedures and to make the best use of these techiniques in treating anorexia nervosa.

• 日本心身医学会の論文
• 1980-06-01

著者

• 荒木 隆次

  産業医科大学精神医学教室

• 大隈 紘子

  九州大学医学部神経精神医学教室

関連論文

• パネル4.Anoerxia Nervosaの1剖検症例(第17回日本心身医学会九州地方会 演題抄録)
• 死亡したAnorexia Nervosaの1症例
• 14.Anorexia Nervosaの食行動についての行動分析(第17回日本心身医学会九州地方会 演題抄録)
• 2. 外出恐怖に対する行動妨害の試み(第5回日本行動療法学会大会一般演題抄録,精神療法と行動療法)
• ハビット・リバーサル法が著効を示した2症例 : 多発性チックと肩甲骨轢音症について

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