Hypertransaminasemia and hypophosphoremia in an adolescent with anorexia nervosa: an event to watch for
- Resource Type
- Authors
- Alberto Villani; Maria Rosaria Marchili; Elena Boccuzzi; Anna Chiara Vittucci; Stefano Vicari; Lelia Rotondi Aufiero
- Source
- Italian Journal of Pediatrics
- Subject
- 0301 basic medicine
Hypercholesterolemia in AN
050103 clinical psychology
medicine.medical_specialty
Anorexia Nervosa
Adolescent
Hypophosphatemia
Hypophosphoremia
Treatment outcome
Case Report
Refeeding syndrome
Weight Gain
Risk Assessment
Severity of Illness Index
behavioral disciplines and activities
03 medical and health sciences
mental disorders
Severity of illness
medicine
Humans
0501 psychology and cognitive sciences
Psychiatry
Transaminases
030109 nutrition & dietetics
business.industry
Maternal and child health
digestive, oral, and skin physiology
05 social sciences
Follow up studies
medicine.disease
Hypertransaminasemia in AN
Settore MED/38
Hospitalization
Treatment Outcome
Anorexia nervosa (differential diagnoses)
Female
Energy Intake
business
hormones, hormone substitutes, and hormone antagonists
Follow-Up Studies
- Language
- ISSN
- 1824-7288
Background Anorexia Nervosa is a Psychiatric eating disorder of adolescence age with a high morbidity and mortality. Case Presentation We describe a common case of anorexia nervosa (AN) in a female adolescent complicated by less known conditions related to refeeding syndrome. At admission, the girl showed a mild hypercholesterolemia with progressive normalization of the values. The initial low hypertransaminasemia worsened after refeeding until very high levels and hypophosphoremia was also described. Only a controlled caloric intake and a specific electrolyte supplementation led to the improvement of hematologic values and the clinical condition of the patient. Conclusions Refeeding complications must be always suspected because of life-threatening risk. More attention should be paid not only to the acute state of the disease but also to the prevention and the management of refeeding-related manifestations.