Luzio J L, Matos F, Pena M, Coelho A, Sá A, Conceição R, Nogueira I
Serviço de Medicina, Hospital de Coimbra.
Acta Med Port. 1997 Dec;10(12):947-9.
Female patient, 21 years of age, with diabetes mellitus type I, admitted due to progressive weight loss, with a recent history of impaired glycemic control, ketosis and amenorrhea for 12 months. Studies were conducted in order to exclude an endocrine or malignant disorder. After nutritional, endocrine and psychiatric evaluation, the diagnosis of anorexia nervosa, was made. Therapeutic results and clinical course after the first year are shown. The case raises important problems, especially within diabetic population, puzzling the clues for diagnosis and therapy.
21岁女性患者,患有I型糖尿病,因进行性体重减轻入院,近期有血糖控制不佳、酮症及闭经12个月的病史。进行了相关检查以排除内分泌或恶性疾病。经过营养、内分泌及精神科评估后,诊断为神经性厌食症。展示了第一年的治疗结果及临床病程。该病例引发了重要问题,尤其是在糖尿病患者群体中,给诊断和治疗线索带来了困扰。