Mallett P, Murch S
St Bartholomew's Hospital, London, Department of Psychiatry.
Arch Dis Child. 1990 Mar;65(3):298-300. doi: 10.1136/adc.65.3.298.
Two cases of inflammatory bowel disease, occurring in adolescence and complicated by anorexia nervosa, are presented. The management of the bowel disease with corticosteroids appeared to precipitate the eating disorder in one case whereas covert withdrawal of steroid treatment led to life threatening complications of inflammatory bowel disease in the other. The difficulties of managing two serious conditions, each ideally treated in a specialist centre, are discussed and the dangers of treating adolescents with shape modifying drugs are highlighted.
本文介绍了两例发生于青春期且并发神经性厌食症的炎症性肠病病例。在其中一例中，使用皮质类固醇治疗肠道疾病似乎引发了饮食失调，而在另一例中，悄悄停用类固醇治疗导致了炎症性肠病危及生命的并发症。文中讨论了同时管理两种严重疾病（每种疾病理想情况下都应在专科中心治疗）的困难，并强调了用塑形药物治疗青少年的危险性。
