Park Sang Won, Kim Jeong Yup, Go Gang Ji, Jeon Eun Sil, Pyo Heui Jung, Kwon Young Joo
Division of Nephrology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Electrolyte Blood Press. 2011 Jun;9(1):32-7. doi: 10.5049/EBP.2011.9.1.32. Epub 2011 Jun 30.
30-year-old male was admitted with general weakness and drowsy mental status. He had eaten only 3-4 spoons of brown rice and fresh vegetable without salt for 3 months to treat his tic disorder, and he had been in bed-ridden state. He has had weight loss of 14 kg in the last 3 months. We report a patient with orthorexia nervosa who developed hyponatremia, metabolic acidosis, subcutaneous emphysema, mediastinal emphysema, pneumothorax, and pancytopenia and we will review the literature. Also, we mention to prevent refeeding syndrome, and to start and maintain feeding in malnourished patients.
一名30岁男性因全身无力和精神状态嗜睡入院。他为治疗抽动障碍，连续3个月仅食用3 - 4勺糙米饭和无盐的新鲜蔬菜，且一直卧床不起。在过去3个月里，他体重减轻了14千克。我们报告了一名患有神经性食洁癖的患者，该患者出现了低钠血症、代谢性酸中毒、皮下气肿、纵隔气肿、气胸和全血细胞减少症，并将对相关文献进行综述。此外，我们提到要预防再喂养综合征，并在营养不良的患者中开始并维持喂养。
