Zayed Moaweya, Garry Joseph P
From University of Minnesota Medical Center Family Medicine Residency Program, Minneapolis (MZ); and the Department of Family Medicine and Community Health, University of Minnesota, Minneapolis (JPG).
J Am Board Fam Med. 2017 Sep-Oct;30(5):666-669. doi: 10.3122/jabfm.2017.05.170182.
Eating disorders are not commonly diagnosed in individuals aged >50 years, yet they are associated with significant psychiatric comorbidities and overall morbidity. Anorexia nervosa is the most common eating disorder among this age group, and women are affected most often. We present the fatal case of a 66-year old woman with severe malnutrition and newly diagnosed anorexia nervosa. Inpatient refeeding was unsuccessful, and she succumbed to multisystem organ failure. The timely recognition of eating disorders among older people is important for family physicians who care for patients across the life spectrum.
饮食失调在50岁以上的人群中并不常见，但它们与严重的精神共病和总体发病率相关。神经性厌食症是该年龄组中最常见的饮食失调症，女性受影响最为频繁。我们报告了一例66岁患有严重营养不良且新诊断为神经性厌食症的女性死亡病例。住院期间的重新喂养未成功，她死于多系统器官衰竭。对于照顾各年龄段患者的家庭医生而言，及时识别老年人中的饮食失调症很重要。
