強迫飲水を伴った神経性食思不振症の1例

概要

論文の詳細を見る
The patient was a 26-year-old female. She had weighed 51kg when she began to diet at the age of 19,resulting in a weight decrease of about 10kg after a year, when she became amenorrheic. By the age of 24,her weight had fallen to 35kg. Upon consulting one hospital, she showed no sign of improvement, she was admitted to our hospital on January 20,1984. On admission, her height was 162cm, and her weight, 35.9kg (-33% of ideal body weight). On physical examination she appeared very emaciated. Her temperature was 35.6℃; blood pressure, 105/75mmHg ; and pulse, 48/min. She had various abnormal attitudes toward food such as furtive eating, food desposal, etc. Results of laboratory studies including urinalysis, CBC, serum electrolytes, blood urea nitrogen, serum creatinine and liver function tests were within normal limits. Stool for occult blood was positive only on the first of several studies. The ECG, EEG, chest X-ray, stull X-rays, brain CT, and G-I tract examinations were all normal. Thyroid fanction testa showed the "low T3 syndrome". Other endocrinological studies revealed the hypothalamic pituitary dysfunction. She was diagnosed as anorexia nervosa and then her treatment was started. Her weight had not improved three months after admission. However, through a combination of tube-feeding and restriction of her behaviour, her weight gradually recovered to 45kg over the following 4 months. She subsequently began drinking a large amount of water and developed mild water intoxication due to dilutional hyponatremia. In anorexia nervosa as well as schizophrenia, self-induced water intoxication may be a cause of death, preventable by early recognition and treatment.
日本心身医学会の論文
1987-06-01

強迫飲水を伴った神経性食思不振症の1例

スポンサーリンク

概要

著者

関連論文

スポンサーリンク