Touzon Ruben
Eating Disorders Unit, Department of Psychiatry, Basurto University Hospital, Osakidetza-Servicio Vasco de Salud, 48013 Bilbao, Spain.
Actas Esp Psiquiatr. 2025 May;53(3):632-637. doi: 10.62641/aep.v53i3.1840.
This report presents the case of a 56-year-old female, initially diagnosed with an eating disorder, who was ultimately found to suffer from Addison's disease. The aim is to highlight the differences between these two conditions to prevent future misdiagnoses.
The patient was admitted to the hospital under the care of the Internal Medicine Department due to an electrolyte imbalance. Following consultations with Psychiatry and Endocrinology, further evaluations led to the diagnosis of adrenal insufficiency. This case prompted a review of the literature on this topic. A comprehensive PubMed search identified nine published case reports of patients with adrenocortical insufficiency who were initially misdiagnosed with an eating disorder.
The data from these 10 cases, including the present one, were analyzed in terms of age, sex, diagnostic delay, symptoms, laboratory abnormalities, and clinical outcomes.
Addison's disease is a rare and potentially fatal condition whose symptoms can sometimes be mistaken for those of an eating disorder. It is crucial for psychiatrists and other specialists to consider this differential diagnosis in similar clinical presentations.
本报告介绍了一名56岁女性的病例，该患者最初被诊断为饮食失调，最终被发现患有艾迪生病。目的是强调这两种疾病之间的差异，以防止未来的误诊。
患者因电解质失衡入住内科接受治疗。在咨询精神科和内分泌科后，进一步评估导致肾上腺功能不全的诊断。该病例促使对该主题的文献进行回顾。通过全面的PubMed搜索，确定了9例最初被误诊为饮食失调的肾上腺皮质功能不全患者的已发表病例报告。
对包括本病例在内的这10例病例的数据进行了年龄、性别、诊断延迟、症状、实验室异常和临床结果方面的分析。
艾迪生病是一种罕见且可能致命的疾病，其症状有时可能被误认为是饮食失调的症状。对于精神科医生和其他专科医生来说，在类似的临床表现中考虑这种鉴别诊断至关重要。
