Rapid recovery from anorexia nervosa after a life-threatening episode with severe thrombocytopenia: Report of three cases

Seiji Saito*, Kei Ichiro Kita, Cintia Yoko Morioka, Akiharu Watanabe

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)113-118
Number of pages6
JournalInternational Journal of Eating Disorders
Volume25
Issue number1
DOIs
StatePublished - 1999/01

Keywords

  • Anorexia nervosa
  • Nutrition
  • Pancytopenia

ASJC Scopus subject areas

  • Psychiatry and Mental health

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