避免/限制性食物摄入障碍的非典型成年人呈现
Alahmed Salah Saleh Ahmed1, Rabindara Katwal2,1
1Internal Medicine, Portsmouth Hospital University NHS Trust, Portsmouth, GBR.
Cureus
|November 14, 2025
概括
这一案例研究突出了一个不常见的成年人呈现的回避性/限制性食物摄入障碍 (ARFID). 早期的多学科干预改善了46岁男性患者的症状和体重增加.
科学领域:
- 精神病学是一个精神病学.
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 通常在儿科患者群体中被诊断出来.
- 成年人呈现的ARFID很少见,往往导致由于非特异性症状的诊断挑战.
研究的目的:
- 报告一个46岁的男性有系统性表现的非典型ARFID病例.
- 强调多学科方法在诊断和管理成年ARFID的重要性.
主要方法:
- 综合诊断工作,包括先进的成像 (MRI,CT,PET-CT) 和实验室测试.
- 多学科团队评估,涉及营养,饮食学和精神病学专家.
- 临床病史侧重于饮食失调行为,如吃得忙和害怕腹.
主要成果:
- 在排除其他潜在疾病后,确立了ARFID的诊断.
- 患者管理包括鼻胃食,营养支持和综合精神病治疗.
- 观察到成功的结局,包括症状的消失和持续的体重增加.
结论:
- 成年ARFID可以呈现出显著的全身症状,模仿其他疾病.
- 高可疑指数和多学科方法对于准确诊断和有效治疗成年ARFID至关重要.
- 早期识别和干预是改善非典型ARFID病例患者结果的关键.
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