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Published on: May 8, 2018
Weight restoration in a patient with anorexia nervosa on dialysis
D Blake Woodside1, Patricia Colton, Randolf Staab
1Program for Eating Disorders, Department of Psychiatry, University of Toronto, Toronto, Canada. b.woodside@utoronto.ca
Objective:
We report a case of weight restoration in a patient with anorexia nervosa, end-stage renal disease (ESRD) requiring dialysis, and cardiac insufficiency.
Method:
The technical challenges and ethical issues involved in her clinical management are reviewed. Renal insufficiency is a common complication of more severe anorexia nervosa.
Results:
Progression to renal failure, when it occurs, is most typically a terminal event. There are currently no published guidelines for monitoring the weight gain of patients undergoing dialysis.
Conclusion:
We present a case of a patient who progressed from renal insufficiency to renal failure while in treatment for anorexia nervosa, and who was ultimately successfully weight restored while on renal dialysis.
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