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[早发性神经性厌食症]

[Early onset anorexia nervosa].

作者信息

Lefebvre Aline, Stordeur Coline

机构信息

Service de psychiatrie de l'enfant et de l'adolescent, Centre de référence des maladies endocriniennes de la croissance et du développement. Centre de référence maladies rares anorexie mentale à début précoce. Hôpital universitaire Robert-Debré, AP-HP, Paris, France.

出版信息

Rev Prat. 2020 Oct;70(8):875-880.

Abstract

Early onset anorexia nervosa. Anorexia nervosa is an eating disorder of multifactorial origin. It has a serious physical and psychological impact on the functioning of the individual and the highest risk of mortality from psychiatric disorders. It is defined according to international classifications by a refusal to maintain a normal minimum weight for his age and height, an intense fear of gaining weight and a disturbance of one's body image. This pathology most often affects adolescents but can be diagnosed from the age of 8 years. In this case, it is considered as "early onset anorexia nervosa" or called "prepubescent anorexia nervosa". Its prognosis is serious, and it requires emergency medical care. Multidisciplinary ambulatory care should be favored in the absence of criteria imposing full-time hospitalization. Patient monitoring should continue for several years.

摘要

早发性神经性厌食症。神经性厌食症是一种多因素起源的饮食失调症。它对个体的身体和心理功能有严重影响,且是精神疾病中死亡率最高的疾病之一。根据国际分类,其定义为拒绝维持与其年龄和身高相适应的正常最低体重、强烈害怕体重增加以及身体形象紊乱。这种病症最常影响青少年,但8岁起即可诊断。在这种情况下,它被视为“早发性神经性厌食症”或称为“青春期前神经性厌食症”。其预后严重,需要紧急医疗护理。在没有强制要求全日制住院的标准的情况下,应优先选择多学科门诊护理。对患者的监测应持续数年。

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