TY - JOUR
T1 - Rapid recovery from anorexia nervosa after a life-threatening episode with severe thrombocytopenia
T2 - Report of three cases
AU - Saito, Seiji
AU - Kita, Kei Ichiro
AU - Morioka, Cintia Yoko
AU - Watanabe, Akiharu
PY - 1999/1
Y1 - 1999/1
N2 - We report the cases of three patients with anorexia nervosa (AN) who each recovered rapidly after experiencing a lite-threatening episode with severe thrombocytopenia. All three cases were the typical restricting-type of AN, occurring in adolescence. They refused to be admitted to a hospital until their general condition had been severely deteriorated. Their lowest platelet counts were 2.9, 4.6, and 2.3 x 104/mm3, respectively. Apparent hemorrhagic tendencies, such as purpura, gingival and nasal bleeding, and gastrointestinal bleeding were observed. The bone marrow examination showed apparent hypoplasia in two patients. No evidence of disseminated intravascular coagulation or autoantibody to platelets was detected. The platelet counts recovered rapidly by water and nutritional supplementation. The recovery from the AN itself was excellent in all three patients without specific psychotherapy.
AB - We report the cases of three patients with anorexia nervosa (AN) who each recovered rapidly after experiencing a lite-threatening episode with severe thrombocytopenia. All three cases were the typical restricting-type of AN, occurring in adolescence. They refused to be admitted to a hospital until their general condition had been severely deteriorated. Their lowest platelet counts were 2.9, 4.6, and 2.3 x 104/mm3, respectively. Apparent hemorrhagic tendencies, such as purpura, gingival and nasal bleeding, and gastrointestinal bleeding were observed. The bone marrow examination showed apparent hypoplasia in two patients. No evidence of disseminated intravascular coagulation or autoantibody to platelets was detected. The platelet counts recovered rapidly by water and nutritional supplementation. The recovery from the AN itself was excellent in all three patients without specific psychotherapy.
KW - Anorexia nervosa
KW - Nutrition
KW - Pancytopenia
UR - http://www.scopus.com/inward/record.url?scp=0032945779&partnerID=8YFLogxK
U2 - 10.1002/(SICI)1098-108X(199901)25:1<113::AID-EAT15>3.0.CO;2-D
DO - 10.1002/(SICI)1098-108X(199901)25:1<113::AID-EAT15>3.0.CO;2-D
M3 - 学術論文
C2 - 9924661
AN - SCOPUS:0032945779
SN - 0276-3478
VL - 25
SP - 113
EP - 118
JO - International Journal of Eating Disorders
JF - International Journal of Eating Disorders
IS - 1
ER -