一名患有脑瘫的儿童的神经性厌食症。
Anorexia nervosa in a child with cerebral palsy.
作者信息
Nishiue Yukia, Miyawaki Dai, Koki Moe, Harada Tomoko
机构信息
Department of Neuropsychiatry Osaka Metropolitan University Graduate School of Medicine Osaka Japan.
Department of Child and Adolescent Psychiatry Osaka City General Hospital Osaka Japan.
出版信息
PCN Rep. 2025 Apr 7;4(2):e70097. doi: 10.1002/pcn5.70097. eCollection 2025 Jun.
BACKGROUND
There have been no reports of children with cerebral palsy (CP) developing anorexia nervosa (AN). This report presents a 13-year-old girl with CP who was hospitalized in a state of severe underweight and impaired consciousness, and was subsequently diagnosed and treated for AN.
CASE PRESENTATION
The patient is a 13-year-old girl diagnosed with CP, who relied on a wheelchair for mobility. Her weight consistently remained at -2 standard deviations. She began restricting her food intake after comparing her body to her sister's and receiving comments from caregivers about her weight. Consequently, her body mass index dropped to 8.2, and when admitted, she showed impaired consciousness. After intensive care treatment, she was hospitalized in the psychiatric ward for about 6 months before discharge. Despite extensive rehabilitation, her physical abilities at discharge did not return to preillness levels.
CONCLUSION
This case indicates that diagnosing and assessing AN in children with CP can be particularly challenging. Children with CP who develop AN are prone to rapid progression to severe physical conditions; therefore, early consultation with a specialist is strongly recommended.
背景
此前尚无脑瘫（CP）患儿患神经性厌食症（AN）的报道。本报告介绍了一名13岁的脑瘫女孩，她因严重体重不足和意识障碍住院，随后被诊断为神经性厌食症并接受治疗。
病例介绍
患者为一名13岁被诊断患有脑瘫的女孩，依靠轮椅行动。她的体重一直处于低于标准体重2个标准差的水平。在将自己的身材与姐姐的身材进行比较并听到照顾者对她体重的评价后，她开始限制食物摄入量。结果，她的体重指数降至8.2，入院时出现意识障碍。经过重症监护治疗后，她在精神科病房住院约6个月后出院。尽管进行了广泛的康复治疗，但出院时她的身体能力并未恢复到患病前的水平。
结论
该病例表明，对脑瘫患儿诊断和评估神经性厌食症可能特别具有挑战性。患神经性厌食症的脑瘫患儿容易迅速发展为严重的身体状况；因此，强烈建议尽早咨询专家。
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