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滥用泻药停止后导致严重水肿。

Laxative Abuse Cessation Leading to Severe Edema.

作者信息

Ragunathan Aditya, Singh Pratishtha, Gosal Kiranpreet, Scibelli Nicolina, Collier Victor

机构信息

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

出版信息

Cureus. 2021 Jun 23;13(6):e15847. doi: 10.7759/cureus.15847. eCollection 2021 Jun.

Abstract

Stimulant laxatives are a common class of laxatives that is abused by patients with eating disorders. We present a case of a 30-year-old female who presented with dyspnea, peripheral edema and weight gain who had been chronically using laxatives. Her symptoms were consistent with rebound edema caused by sodium and free water shifts with abrupt cessation of excessive stimulant laxative use. This case highlights the use of furosemide as the mainstay treatment for rebound edema and weight gain.

摘要

刺激性泻药是一类常见的泻药,被饮食失调患者滥用。我们报告一例30岁女性病例,该患者长期使用泻药后出现呼吸困难、外周水肿和体重增加。她的症状与因突然停止过度使用刺激性泻药导致钠和游离水转移引起的反弹性水肿一致。该病例强调了使用呋塞米作为反弹性水肿和体重增加的主要治疗方法。

相似文献

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Laxative Abuse Cessation Leading to Severe Edema.滥用泻药停止后导致严重水肿。
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本文引用的文献

1
Diuretics-assisted treatment of chronic laxative abuse.利尿剂辅助治疗慢性泻药滥用。
CEN Case Rep. 2014 Nov;3(2):209-214. doi: 10.1007/s13730-014-0120-7. Epub 2014 Mar 26.
2
Bulimia Nervosa - medical complications.神经性贪食症- 医学并发症。
J Eat Disord. 2015 Apr 3;3:12. doi: 10.1186/s40337-015-0044-4. eCollection 2015.
3
PseudoBartter syndrome in eating disorders.进食障碍中的假性巴特综合征。
Int J Eat Disord. 2012 Jan;45(1):150-3. doi: 10.1002/eat.20906. Epub 2011 Feb 22.
4
Clinical practice. Bulimia nervosa.临床实践。神经性贪食症。
N Engl J Med. 2003 Aug 28;349(9):875-81. doi: 10.1056/NEJMcp022813.

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