A clinical case of typical anorexia nervosa in a prepubescent boy
Introduction Clinical case of 10-year-old patient with anorexia nervosa at the stage of severe cachexia. Features of the disease, diagnosis, treatment and methods of restoration of nutrition. Anorexia nervosa is an eating disorder (ED), severe pathology, manifested by severe complications, high di...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821009561/type/journal_article |
| _version_ | 1827753764522557440 |
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| author | A. Bryukhin M. Sologub E. Sineutskaya M. Matsneva A. Zakharova E. Okonishnikova T. Lineva |
| author_facet | A. Bryukhin M. Sologub E. Sineutskaya M. Matsneva A. Zakharova E. Okonishnikova T. Lineva |
| author_sort | A. Bryukhin |
| collection | DOAJ |
| description |
Introduction
Clinical case of 10-year-old patient with anorexia nervosa at the stage of severe cachexia. Features of the disease, diagnosis, treatment and methods of restoration of nutrition. Anorexia nervosa is an eating disorder (ED), severe pathology, manifested by severe complications, high disability and can cause death. ED has traditionally been perceived as a disease affecting women. However, this pathology occurs men, is 10-25% of the total number of patients with ED, or 1-2% in the population.
Objectives
Describe the difficulties in identifying ED in men that affect diagnosis and treatment, especially if they are underage patients.
Methods
Patient I. 10 years, selectivity in food from 4 years, during the week before hospitalization complete rejection of food and water. When entering the clinic height 127, weight 19 kg, BMI 11. In the clinical picture anxiety, low mood, fear of eating and weight gain. The duration of the disease for about one year. Clinical and psychopathological method.
Results
Diagnosis F50.0 anorexia nervosa in the stage of severe cachexia. Treatment: olanzapine and fluvoxamine in the age dosages, parenteral Kabiven infusion, individual and group psychotherapy. Psychoeducation of parents and Maudsley method therapy. As a result of treatment improved mood, decreased anxiety associated with eating and weight gain. At the time of discharge from the clinic height 127, weight 30 kg, BMI 18.
Conclusions
The clinical case indicates the need to increase the attention of pediatricians, psychologists, psychiatrists and other doctors in connection with the growth and rejuvenation of ED in the male population.
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| first_indexed | 2024-03-11T07:39:48Z |
| format | Article |
| id | doaj.art-2314062b1f184efdb0c28ae531a3640d |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:39:48Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-2314062b1f184efdb0c28ae531a3640d2023-11-17T05:08:43ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S357S35710.1192/j.eurpsy.2021.956A clinical case of typical anorexia nervosa in a prepubescent boyA. Bryukhin0M. Sologub1E. Sineutskaya2M. Matsneva3A. Zakharova4E. Okonishnikova5T. Lineva6Department Of Psychiatry And Medical Psychology, RUDN University Moscow., Moscow, Russian FederationMedical Clinic, Center for ED research in Moscow - CIRPP, Moscow, Russian FederationMedical Clinic, Center for ED research in Moscow - CIRPP, Moscow, Russian FederationMedical Clinic, Center for ED research in Moscow - CIRPP, Moscow, Russian FederationMedical Clinic, Center for ED research in Moscow - CIRPP, Moscow, Russian FederationDepartment Of Psychiatry And Medical Psychology, RUDN University Moscow., Moscow, Russian FederationDepartment Of Psychiatry And Medical Psychology, RUDN University Moscow., Moscow, Russian Federation Introduction Clinical case of 10-year-old patient with anorexia nervosa at the stage of severe cachexia. Features of the disease, diagnosis, treatment and methods of restoration of nutrition. Anorexia nervosa is an eating disorder (ED), severe pathology, manifested by severe complications, high disability and can cause death. ED has traditionally been perceived as a disease affecting women. However, this pathology occurs men, is 10-25% of the total number of patients with ED, or 1-2% in the population. Objectives Describe the difficulties in identifying ED in men that affect diagnosis and treatment, especially if they are underage patients. Methods Patient I. 10 years, selectivity in food from 4 years, during the week before hospitalization complete rejection of food and water. When entering the clinic height 127, weight 19 kg, BMI 11. In the clinical picture anxiety, low mood, fear of eating and weight gain. The duration of the disease for about one year. Clinical and psychopathological method. Results Diagnosis F50.0 anorexia nervosa in the stage of severe cachexia. Treatment: olanzapine and fluvoxamine in the age dosages, parenteral Kabiven infusion, individual and group psychotherapy. Psychoeducation of parents and Maudsley method therapy. As a result of treatment improved mood, decreased anxiety associated with eating and weight gain. At the time of discharge from the clinic height 127, weight 30 kg, BMI 18. Conclusions The clinical case indicates the need to increase the attention of pediatricians, psychologists, psychiatrists and other doctors in connection with the growth and rejuvenation of ED in the male population. https://www.cambridge.org/core/product/identifier/S0924933821009561/type/journal_articleeating disorderanorexia nervosa |
| spellingShingle | A. Bryukhin M. Sologub E. Sineutskaya M. Matsneva A. Zakharova E. Okonishnikova T. Lineva A clinical case of typical anorexia nervosa in a prepubescent boy European Psychiatry eating disorder anorexia nervosa |
| title | A clinical case of typical anorexia nervosa in a prepubescent boy |
| title_full | A clinical case of typical anorexia nervosa in a prepubescent boy |
| title_fullStr | A clinical case of typical anorexia nervosa in a prepubescent boy |
| title_full_unstemmed | A clinical case of typical anorexia nervosa in a prepubescent boy |
| title_short | A clinical case of typical anorexia nervosa in a prepubescent boy |
| title_sort | clinical case of typical anorexia nervosa in a prepubescent boy |
| topic | eating disorder anorexia nervosa |
| url | https://www.cambridge.org/core/product/identifier/S0924933821009561/type/journal_article |
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