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Erosion of the dental hard tissues and enlarged parotid and submandibular saliva glands are commonly associated with bulimia nervosa. In 15 patients and controls, no significant difference was detected in the concentrations of potassium, chloride, calcium, urea nitrogen or albumin. There was also no
OBJECTIVE
Abnormal eating patterns and recurrent purging behaviors can result in significant medical complications. The purpose of this study was to assess the frequency of abnormalities in clinical laboratory tests in patients with bulimia nervosa who reported being otherwise in good
OBJECTIVE
The diagnosis of bulimia nervosa (BN) is often delayed because patients are frequently secretive about the illness. Prior work has examined several potential diagnostic markers, none of which has been both highly sensitive and specific. Little is known about the utility of urine
A 39-year-old woman with an unremarkable history presented to the emergency department with three episodes of collapse. Each episode was witnessed by her son who described a loss of consciousness followed by rapid and complete recovery. The patient appeared well and examination was unremarkable. Her
OBJECTIVE
Patients with bulimia nervosa often have serum electrolyte abnormalities that result from vomiting and/or laxative or diuretic use. Thus, serum electrolytes could serve as an objective marker of such behaviors.
METHODS
This study is a retrospective examination of serum electrolyte levels
The internist plays a critical role in the care of eating disorder patients, especially in the management of the life-threatening medical complications of these conditions. In anorexia nervosa, the immediate danger is related to the effects of voluntary starvation, including hypophosphatemia, bone
Patients with anorexia nervosa or bulimia nervosa may try to compensate weight gain due to binge eating by purging: vomiting or use of diuretics, laxatives or diet pills. Purging may reduce the body weight through volume depletion, but has hardly any effect on the food uptake. Frequent vomiting is
A 14-year-old girl with a history of nonpurging bulimia nervosa (BN) was presented with muscular pain and weakness after several days of fasting and vigorous exercise. On hospital admission, the serum creatine kinase was 3,277 U/L and serum potassium was 2.5 mmol/L. The creatine kinase level reached
BACKGROUND
Little is known concerning the dietary habits during pregnancy of women with eating disorders that may lie in the causal pathway of adverse birth outcomes.
OBJECTIVE
We examined the nutrient and food group intakes of women with bulimia nervosa and binge-eating disorder during pregnancy
OBJECTIVE
To evaluate the prevalence and cause of severe hypokalaemia in patients administered for cardiopulmonary resuscitation (CPR) for non-traumatic cardiac arrest.
METHODS
We conducted a retrospective database review in the setting of a University hospital on 281 consecutive adult patients
Bulimia nervosa is characterized by binge eating and inappropriate compensatory behaviors, such as vomiting, fasting, excessive exercise and the misuse of diuretics, laxatives or enemas. Although the etiology of this disorder is unknown, genetic and neurochemical factors have been implicated.
Thirty patients were selected for a prospective study according to two criteria: (i) an irresistible urge to overeat (bulimia nervosa), followed by self-induced vomiting or purging; (ii) a morbid fear of becoming fat. The majority of the patients had a previous history of true or cryptic anorexia
A literature review of the relationship between bulimia and affective disorder showed that the evidence from empirical research and case report studies suggests that a sizeable subgroup of bulimics suffer from bipolar disorder as well as bulimia and may benefit from antimanic medications such as
A 23-year-old male student (height 180 cm, weight 63 kg) without any cardiac symptoms underwent a cardiological examination and consultation before a marathon run. A holosystolic mitral valve prolapse was discovered. After the marathon run he developed anorexia nervosa, interrupted by brief bulimic