Kaplan F S, Pertschuk M, Fallon M, Haddad J
Clin Orthop Relat Res. 1986 Nov(212):250-4.
A 35-year-old woman with a 17-year history of anorexia nervosa (AN) sustained a pathologic fracture of the hip. Osteoporosis was confirmed by quantitative computed tomography of the lumbar spine and transiliac bone biopsy. Severe bone disease may exist in the anorexia nervosa syndrome and may to some extent be reversible on treatment of the underlying condition. AN could have profound effects on the peak bone mass achieved in the lifetime of the individual. Asymptomatic and symptomatic osteoporosis in young women may be based upon AN. Patients should be informed that osteoporosis can cause pathologic fractures as a sequela of self-imposed chronic malnutrition.
一名患有神经性厌食症（AN）17年的35岁女性发生了髋部病理性骨折。通过腰椎定量计算机断层扫描和髂骨活检确诊为骨质疏松症。神经性厌食症综合征可能存在严重的骨病，并且在治疗潜在疾病后在一定程度上可能是可逆的。AN可能对个体一生中达到的峰值骨量产生深远影响。年轻女性的无症状和有症状骨质疏松症可能基于AN。应告知患者，骨质疏松症可导致病理性骨折，这是自我施加的慢性营养不良的后遗症。
