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Published on: October 22, 2015
Anorexia nervosa and Raynaud's phenomenon: a case report
Basak Yucel1, Ayse Kubat Uzum, Nese Ozbey
1Department of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. byucel@superonline.com
Anorexia nervosa (AN) and Raynaud's phenomenon can co-occur, requiring multidisciplinary care. Treatment modifications, like transdermal hormone therapy, may be necessary for patients with both conditions.
Area of Science:
- Medical science
- Clinical psychology
- Endocrinology
Background:
- The relationship between anorexia nervosa (AN) and Raynaud's phenomenon is not well-defined.
- Raynaud's phenomenon has been observed during the course of AN, but interactions are unclear.
Observation:
- A case study of a 19-year-old female patient who developed Raynaud's phenomenon after the onset of AN.
- Medical workup, treatment, and outcomes were documented.
Findings:
- Nutritional rehabilitation, counseling, and therapy significantly improved AN symptoms, including weight and behaviors.
- Raynaud's symptoms resolved with a calcium channel blocker and antiplatelet therapy.
- Transdermal hormone replacement therapy was used to manage amenorrhea and osteopenia, avoiding oral contraceptives due to Raynaud's and potential connective tissue disorder.
Implications:
- The co-occurrence of AN and Raynaud's phenomenon necessitates vigilant, multidisciplinary follow-up.
- Concurrent AN and Raynaud's phenomenon may require modifications to standard treatment protocols.
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