Hostname: page-component-848d4c4894-nr4z6 Total loading time: 0 Render date: 2024-04-30T18:53:11.100Z Has data issue: false hasContentIssue false
  • English
  • Français

Physical Complications in Anorexia Nervosa

Haematological and Neuromuscular Changes in 12 Patients

Published online by Cambridge University Press:  02 January 2018

E. Shur ,
R. Alloway ,
R. Obrecht  and
G. F. M. Russell
E. Shur*
Affiliation:
Queen Mary's Hospital and Westminster Hospital Medical School
R. Alloway
Affiliation:
Maudsley Hospital
R. Obrecht
Affiliation:
Maudsley Hospital
G. F. M. Russell
Affiliation:
Institute of Psychiatry and Maudsley Hospital
*
∗Queen Mary's University Hospital, Roehampton Lane, London SW15 5PN
Get access Rights & Permissions [Opens in a new window]

Abstract

Of twelve patients consecutively admitted to the Maudsley Hospital Eating Disorders Unit, four had neuromuscular abnormality, eight haematological abnormality, and four no abnormality. All those having neuromuscular signs had concomitant haematological dysfunction. Vomiting, and food restriction with vegetarianism, appeared more likely to lead to complications than either food restriction alone or laxative abuse. The physical status of severely underweight patients admitted for refeeding needs to be carefully monitored.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 153 , Issue 1 , July 1988 , pp. 72 - 75
Copyright
Copyright © Royal College of Psychiatrists, 1988 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alloway, R., Reynolds, E. H. & Russell, G. F. M. (1985) Neuropathy and myopathy in two patients with anorexia and bulimia nervosa. Journal of Neurology, Neurosurgery and Psychiatry, 48, 1015–1020.Google Scholar
Amrein, P. C., Friedman, R., Kosinski, K. & Ellman, L. (1979) Haematological changes in anorexia nervosa. Journal of the American Medical Association, 241, 2190–2191.Google Scholar
Bliss, E. C. & Branch, C. M. M. (1960) Anorexia Nervosa. New York: PB Hoebner Inc.Google Scholar
Beattie, J. (1948) In Malnutrition and Starvation in the Western Netherlands, September 1944–July 1945. (eds Burger, G. C. E., Drummond, J. C. & Stanstead, H. R.). The Netherlands: The Hague General State Printing Office.Google Scholar
Dastur, D. K., Daver, S. M. & Manghan, D. K. (1979) Changes in muscle in human malnutrition with an emphasis on the fine structure in protein calorie malnutrition. In Progress in Neuropathology (ed. Zimmerman, H. H.), vol. 5. New York: Raven Press.Google Scholar
Garfinkel, P. E. & Garner, D. M. (1982) Anorexia Nervosa, a Multidimentional Perspective. New York: Brunner/Mazel.Google Scholar
Gull, W. W. (1874) Anorexia nervosa (Apepsia hysterica, Anorexia hysterica). Transactions of the Clinical Society of London, 7, 22.Google Scholar
Handler, C. E. & Perkin, G. D. (1982) Anorexia nervosa and Wernicke's encephalopathy: an undiagnosed association. The Lancet, ii, 771–772.CrossRefGoogle Scholar
Laségue, E. C. (1873a) De l'anorexie hysterique. Archives of General Medicine, 1, 385.Google Scholar
Laségue, E. C. (1873b). On hysterical anorexia. Medical Times, 2, 265.Google Scholar
Ledingham, J. G. G. (1986) In Oxford Textbook of Medicine (2nd edn) (eds Wetherall, D. J., Ledingham, J. G. G. & Warrell, D. A.) vol. 1, pp. 8–34. Oxford: Oxford University Press.Google Scholar
Lindboë, C. F., Askeroid, F. & Slettebø, M. (1982) Muscle changes in skeletal muscles of young women with anorexia nervosa. Acta Neurolopathologica, 56, 299–302.CrossRefGoogle ScholarPubMed
Mant, M. J. & Faragher, B. S. (1972) The haematology of anorexia nervosa. British Journal of Haematology, 23, 737–749.CrossRefGoogle ScholarPubMed
Rieger, W., Brady, J. P. & Weisburg, E. (1978) Haematological changes in anorexia nervosa. American Journal of Psychiatry, 135, 984–985.Google ScholarPubMed
Russell, G. F. M. (1970) Anorexia nervosa, its identity as an illness and its treatment. In Modern Trends in Psychological Medicine (2nd edn) (ed Price, J. H.). London: Butterworths.Google Scholar
Russell, G. F. M. (1979) Bulimia nervosa: an omnious variant of anorexia nervosa. Psychological Medicine, 9, 429–448.CrossRefGoogle Scholar
Slettebø, M., Lindboë, C. F. & Askevold, F. (1984) The neuromuscular system in patients with anorexia nervosa. Clinical Neuropathology, 3, 217–224.Google Scholar
Széjnman, M. (1979) In Current Concepts in Nutrition, vol. 7 (ed Winick, M.) (pp. 161–187). New York: Wiley.Google Scholar
Warren, M. P. & van de Wiele, R. L. (1973) Clinical and metabolic features of anorexia nervosa. American Journal of Obstetrics and Gynaecology, 117, 435–449.CrossRefGoogle ScholarPubMed
Weller, R. O. (1984) Diseases of muscle. In Colour Atlas of Neuropathology, Ch. 15, p. 162. Oxford: Oxford University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.