Srinivasa Preeti, Chandrashekar M, Harish Nikitha, Gowda Mahesh R, Durgoji Sumit
Consultant Psychiatrist, Spandana Nursing Home, Bangalore, Karnataka, India.
Psychiatric Rehabilitator, Spandana Health Care, Bangalore, Karnataka, India.
Indian J Psychol Med. 2015 Apr-Jun;37(2):236-8. doi: 10.4103/0253-7176.155655.
Anorexia nervosa is an eating disorder characterized by excessive restriction on food intake and irrational fear of gaining weight, often accompanied by a distorted body self-perception. It is clinically diagnosed more frequently in females, with type and severity varying with each case. The current report is a case of a 25-year-old female, married for 5 years, educated up to 10(th) standard, a homemaker, hailing from an upper social class Hindu (Marvadi) family, living with husband's family in Urban Bangalore; presented to our tertiary care centre with complaints of gradual loss of weight, recurrent episodes of vomiting, from a period of two years, menstrual irregularities from 1 year and amenorrhea since 6 months, with a probable precipitating factor being husband's critical comment on her weight. Diagnosis of atypical anorexia nervosa was made, with the body mass index (BMI) being 15.6. A multidisciplinary therapeutic approach was employed to facilitate remission. Through this case report the authors call for the attention of general practitioners and other medical practitioners to be aware of the symptomatology of eating disorders as most patients would overtly express somatic conditions similar to the reported case so as to facilitate early psychiatric intervention.
神经性厌食症是一种饮食失调症,其特征是对食物摄入过度限制以及对体重增加的非理性恐惧,常伴有身体自我认知的扭曲。临床上女性被诊断出患此病的频率更高,其类型和严重程度因病例而异。本报告是一例25岁女性病例,已婚5年,接受过10年级教育,家庭主妇,来自社会上层的印度教(马尔瓦迪)家庭,与丈夫家人居住在班加罗尔市区;因体重逐渐减轻、反复呕吐两年、月经不规律一年且闭经六个月前来我们的三级护理中心就诊,可能的诱发因素是丈夫对她体重的批评。诊断为非典型神经性厌食症,体重指数(BMI)为15.6。采用多学科治疗方法促进病情缓解。通过本病例报告,作者呼吁全科医生和其他医学从业者注意饮食失调症的症状,因为大多数患者会明显表现出与本报告病例类似的躯体状况,以便促进早期精神科干预。