Paszynska Elzbieta, Dutkiewicz Agata, Osinska Agata, Mozol-Jursza Marta, Smalc Natalia, Tyszkiewicz-Nwafor Marta, Dmitrzak-Weglarz Monika, Slopien Agnieszka, Jenerowicz Dorota
Department of Integrated Dentistry, Poznan University of Medical Sciences, Poznań, Poland.
Department of Child and Adolescent Psychiatry, Poznan University of Medical Sciences, Poznań, Poland.
Eur J Dent. 2020 Feb;14(1):180-185. doi: 10.1055/s-0040-1705073. Epub 2020 Mar 13.
The aim of the study was to highlight the aspect of oral and cutaneous changes in anorexia nervosa (AN) as a purging type. On the basis of three clinical cases, a description has been made of the beginning and the possible course of the disease, teeth, oral mucosa, and skin changes resulting from the illness. The research method was based on the analysis of the available literature on AN supplemented by clinical experience of presented cases. On the basis of the interdisciplinary analysis, it was concluded that the appropriate diagnosis and treatment of AN are possible only with the collaboration of many specialists-psychiatrist or pediatric psychiatrist, general practitioner, dermatologist, dentist, and if necessary other medical specialists. In this context, psychotherapy is an integral aspect of treatment. Therefore, early intervention is essential to obtain good results of treatment.
本研究的目的是突出神经性厌食症（AN）清除型的口腔和皮肤变化方面。基于三个临床病例，对该疾病的起始及可能病程、牙齿、口腔黏膜和疾病导致的皮肤变化进行了描述。研究方法基于对有关AN的现有文献分析，并辅以所呈现病例的临床经验。基于多学科分析得出结论，只有众多专家——精神科医生或儿童精神科医生、全科医生、皮肤科医生、牙医以及必要时的其他医学专家协作，才有可能对AN进行恰当诊断和治疗。在此背景下，心理治疗是治疗不可或缺的方面。因此，早期干预对于取得良好治疗效果至关重要。
