Increased creatinine kinase and rhabdomyolysis in anorexia nervosa.

Détails

ID Serval
serval:BIB_213E3145393B
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Increased creatinine kinase and rhabdomyolysis in anorexia nervosa.
Périodique
International Journal of Eating Disorders
Auteur⸱e⸱s
Walder A., Baumann P.
ISSN
1098-108X (Electronic)
ISSN-L
0276-3478
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
41
Numéro
8
Pages
766-767
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
OBJECTIVE: A male adolescent with an anorexia nervosa-restricting type reported about his habit to carry out severe exercises to hold his weight. Seven weeks after admission to hospital, laboratory findings showed an extremely high level of serum creatinine kinase (CK) (>20,000 U/L) without clinical signs for rhabdomyolysis or renal depression.
METHOD: Clinical observation and routine laboratory controls in the patient, who participated in our special program for patients with eating disorder.
RESULTS: To minimize the risk for renal failure, a treatment with bicarbonate for volume repletion, forced diuresis and urinary alkalinisation over 24 hr were initiated. After 12 hr, CK decreased to almost 50% and it normalized then within 10 days.
CONCLUSION: This is the first reported case of anorexia nervosa with this extremely high level of serum CK, induced by excessive physical activity.
Mots-clé
Anorexia Nervosa/blood, Anorexia Nervosa/complications, Creatine Kinase/blood, Humans, Male, Renal Insufficiency/blood, Renal Insufficiency/complications, Rhabdomyolysis/blood, Severity of Illness Index, Young Adult
Pubmed
Web of science
Création de la notice
09/06/2008 9:17
Dernière modification de la notice
20/08/2019 13:57
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