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Anorexia nervosa presenting as reversible hypoglycaemic coma.

A M Zalin, A F Lant

Journal of the Royal Society of Medicine

|March 1, 1984

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Hypoglycaemic coma, a rare complication of anorexia nervosa, was observed in two patients. Intravenous glucose rapidly restored consciousness, highlighting an unusual presentation of malnutrition.

Area of Science:

Endocrinology
Nutritional Psychiatry

Background:

Anorexia nervosa is a complex eating disorder with severe medical complications.
Malnutrition in anorexia nervosa can lead to various metabolic disturbances.

Observation:

Two patients with anorexia nervosa presented with hypoglycaemic coma.
This presentation is an uncommon complication of malnutrition.

Findings:

Intravenous glucose administration rapidly resolved the hypoglycaemic coma in both patients.
This specific complication has not been previously documented in anorexia nervosa literature.

Implications:

Highlights the potential for severe metabolic derangements in anorexia nervosa.
Suggests prompt glucose administration as a critical intervention for hypoglycaemic coma in these patients.

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Underscores the need for increased awareness of this rare complication among clinicians treating anorexia nervosa.