一名7岁男孩的避免性限制性食物摄入障碍伴有营养缺陷:一个病例报告
Teklit Gebremedhin Tekulu1, Hewan Fisseha Yosef2, Gebremedhn Gebremichael Lema3
1Department of Pediatric and Child Health, School of Medicine, Mekelle University College of Health Sciences, Mekelle, Ethiopia. tekitey@gmail.com.
Journal of eating disorders
|March 12, 2026
概括
避免性限制性食物摄入障碍 (ARFID) 是低资源环境中营养不良的一个未被认可的原因. 早期诊断和多学科护理对于预防ARFID儿童的严重并发症至关重要.
科学领域:
- 儿科 儿科 儿科
- 营养科学 营养科学
- 精神病学是一个精神病学.
背景情况:
- 避免性限制性食物摄入障碍 (ARFID) 是一种营养障碍,其特点是由于感官问题或对后果的恐惧而避免食物,而不是身体形象问题.
- ARFID通常影响儿童,可能导致严重的营养和发育问题.
- 虽然在高收入国家越来越多地报告了ARFID,但在资源较低的环境中,它仍然未得到充分承认,因为营养不良通常归因于其他因素.
研究的目的:
- 为了突出ARFID在低资源环境中发生的情况.
- 强调在严重营养缺乏的情况下考虑ARFID的重要性,即使其他原因显而易见.
- 强调需要早期识别和适当管理ARFID.
主要方法:
- 一个七岁男孩的病例介绍,他患有一般性胀,夜盲和生长失败.
- 基于高度限制的食物摄入量 (只有果和面包) 和临床表现的ARFID诊断.
- 评估发现了宏观营养素和微量营养素缺乏,包括维生素A缺乏和贫血.
主要成果:
- 这位患者出现了 edematous 营养不良,低albuminemia,混合性贫血和维生素A 缺乏症.
- 鉴定出ARFID是营养缺乏的主要潜在原因,尽管同时感染了Hymenolepis nana.
- 通过鼻胃管养和认知行为疗法进行营养康复,导致了显著的临床和饮食改善.
结论:
- ARFID可以在资源较低的环境中表现出来,并因贫困或感染而被误认为营养不良.
- 详细的饮食史和探索避免食物的原因对于准确的ARFID诊断至关重要.
- 迅速,多学科的干预对于缓解ARFID严重并发症和改善患者结果至关重要.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
994
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
994
Overview of Protein Metabolism
4.5K
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
4.5K
Anorexia Nervosa
1.7K
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
1.7K
Other Disorders of Digestive System
1.6K
The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
1.6K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
1.4K
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.4K
Bulimia Nervosa
931
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
931


