Alloway R, Reynolds E H, Spargo E, Russell G F
J Neurol Neurosurg Psychiatry. 1985 Oct;48(10):1015-20. doi: 10.1136/jnnp.48.10.1015.
Two adolescent patients with eating disorders and severe weight loss presented with neuromyopathy. The first was female and had a twenty months' history of bulimia nervosa with weight loss and episodic gorging and vomiting. The second was male with a two-year history of anorexia nervosa characterised by vegetarianism and increasing food restriction. Both had severe wasting and asymmetrical weakness of proximal limb muscles. The first patient deteriorated on refeeding and became temporarily paralysed. Both had a purpuric rash and haematological abnormalities. They made a complete recovery on a mixed diet: vitamin supplements were given to the first but not to the second patient.
两名患有饮食失调和严重体重减轻的青少年患者出现了神经肌肉病。第一名患者为女性,有20个月的神经性贪食症病史,伴有体重减轻以及发作性暴饮暴食和呕吐。第二名患者为男性,有两年的神经性厌食症病史,其特点是素食主义和日益严格的食物限制。两人均有严重消瘦和近端肢体肌肉不对称无力。第一名患者在重新进食后病情恶化并暂时瘫痪。两人均有紫癜性皮疹和血液学异常。他们通过混合饮食完全康复:第一名患者给予了维生素补充剂,第二名患者未给予。