Child Psychiatry Department, Hôpital Erasme-Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium.
Eat Weight Disord. 2022 Jun;27(5):1903-1906. doi: 10.1007/s40519-021-01332-z. Epub 2021 Dec 2.
Although anorexia nervosa might delay puberty, a structured assessment at its onset remains crucial in excluding congenital delayed puberty diseases.
During the follow-up of a 15-year-old girl suffering from anorexia nervosa, a change of treatment has led to a thorough medical history revealing the absence of the olfactory bulb. Kallmann syndrome diagnosis was made on a blood analysis and the patient was treated with a multidisciplinary approach.
After the diagnosis, our patient was relieved as it has clarified some of her symptoms including anosmia, poor height and maturational delay. Too often a delayed puberty is attributed to anorexia nervosa itself without considering medical history. This case definitely shows the importance of performing a case history and early diagnosis in pre-pubertal AN to rule out other rare diseases and avoid mid- and long-term sequelae.
IV (case study).
尽管神经性厌食症可能会延迟青春期，但在发病时进行结构化评估仍然至关重要，以排除先天性青春期延迟疾病。
在对一名患有神经性厌食症的 15 岁女孩进行随访时，治疗方案的改变导致了详细的病史回顾，发现其嗅球缺失。通过血液分析诊断为卡尔曼综合征，患者接受了多学科治疗。
诊断后，我们的患者感到如释重负，因为这解释了她的一些症状，包括嗅觉丧失、身高矮小和发育迟缓。青春期延迟往往归因于神经性厌食症本身，而不考虑病史。这个病例明确表明，在青春期前神经性厌食症中进行病史采集和早期诊断非常重要，以排除其他罕见疾病并避免中期和长期的后遗症。
IV（病例研究）。
