Lazare Kimberly
Department of Family and Community Medicine, North York General Hospital, University of Toronto, Toronto, ON, Canada.
Case Rep Endocrinol. 2017;2017:4096021. doi: 10.1155/2017/4096021. Epub 2017 Mar 1.
A 30-year-old female with a history of anxiety, cannabis use, and Avoidant/Restrictive Food Intake Disorder presented for residential treatment of a Cannabis Use Disorder. Upon arrival, she had not eaten for two days and was found to be hypotensive with electrolyte disturbances. She was admitted to a nearby hospital, where the Internist diagnosed her with Addison's disease. She was treated with corticosteroid therapy, with rapid normalization of her electrolytes, eating, and anxiety. This is the first published case of undiagnosed Addison's disease presenting as an eating disorder, with cannabis use likely contributing to symptoms. This case elucidates the importance of ruling out other biologic and psychologic causes of clinical presentations before an eating disorder diagnosis can be made.
一名30岁女性，有焦虑症、吸食大麻史及回避/限制性食物摄入障碍，因大麻使用障碍接受住院治疗。入院时，她已两天未进食，被发现血压过低且伴有电解质紊乱。她被收治到附近医院，内科医生诊断她患有艾迪生病。她接受了皮质类固醇治疗，电解质、饮食和焦虑状况迅速恢复正常。这是首例发表的以进食障碍形式出现的未确诊艾迪生病病例，大麻使用可能导致了症状。该病例阐明了在做出进食障碍诊断之前排除临床表现的其他生物学和心理学原因的重要性。
