Orv Hetil. 2007 Mar 4;148(9):405-12.
Medical complications of anorexia nervosa in children and adolescents
P?zthy B.
Semmelweis Egyetem, Altal?os Orvostudom?yi Kar I. Gyermekgy?y?zati Klinika Budapest B?ay u 53. 1083, Hungary. paszthy@gyer1.sote.hu
Anorexia nervosa in children and adolescents is still a serious cause of morbidity and mortality which may result in premature death or life-long medical and psychosocial morbidity. This condition can cause significant medical complications in every organ system of the growing and developing body. Although many of these medical complications improve with nutritional rehabilitation and recovery from the disorder some are potentially irreversible. This article summarizes the evidence based literature on medical complications that has been specially studied in child and adolescent population with anorexia nervosa over the past two decades. This review of the literature focuses on the acute symptoms of anorexia nervosa with special emphasis on the fluid and electrolyte levels and refeeding syndrome, and details the cardiovascular complications. Summarizes the special alterations in childhood and adolescent anorexia nervosa such as impaired bone mineral accretion and the possible therapeutic interventions of osteopenia and alterations in linear growth. The reviewed literature suggests that the medical complications in adolescents with anorexia nervosa are different from those reported in the adult population. The unique clinical presentation, the early onset and the unknown impact of these complications underline the need for early identification and early efficient treatment of anorexia nervosa in adolescents. There is an increasing number of evidence that highlight the importance of interdisciplinary teams of healthcare providers in the identification and in the therapy of adolescent anorexia nervosa as well.
Please click on the required question.
- 1 What is amenorrhoea?
- 2 What is oligomenorrhoea?
- 3 What are true and false amenorrhoea?
- 4 What is the difference between primary and secondary amenorrhoea?
- 5 Our daughter has not started her periods yet. When should we seek medical advice?
- 6 My periods have stopped. When should I seek medical advise?
- 7 My periods have stopped. How can the cause be determined?
- 8 Can generalised ill health result cause periods to stop?
- 9 I am a keen sportswoman. Could this stop my periods?
- 10 What is hyperprolactinaemia?
- 11 Which investigations are particularly helpful in finding the cause for the cessation of my periods?
- 12 What is karyotyping?
- 13 What is Turner Syndrome?
- 14 What is the testicular feminisation syndrome?
- 15 What is the resistant ovary syndrome?
- 16 What are autoantibodies?
- 17 What is premature ovarian failure (premature menopause)
- 18 What uterine abnormalities may cause amenorrhoea?
- 19 What is Asherman's syndrome?
- 20 What are the late effects of prolonged amenorrhoea?
- 21 How can my amenorrhoea be treated?
- 22 What are the risks and benefits of hormone replacement when used for premature menopause?
- 23 My periods are coming infrequently (oligomenorrhoea). What is likely to be the causes?
- 24 How are infrequent periods investigated?
- 25 How can oligomenorrhoea be treated?
- 26 If my periods are absent or infrequent, do I need contraception?
- 27 Where can I obtain more information?
- 28 Support Groups.
|
Please subscribe to receive
our FREE women's health newsletter.
STAY UP TO DATE on the important issues affecting YOUR HEALTH.
| |
| First Name: | |
| Family Name: | |
| Email: | |
| Profession: | |
| Country: | |
| Age: | |
|
We are committed to your privacy. Your email address will not be shared with anyone.
| |
Thank you for choosing to visit us.
This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
Your Own Web Presence
For £35
Have your own web ad on the internet and optimized for good positioning.
Your Own Dedicated Web Page Designed Specifically For You
More Effective
Than Your Own
Single Page Website
For £35