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CASE REPORT
Kwashiorkor: an unexpected complication to anorexia nervosa
  1. Camilla Viola Buskbjerg Palm1,
  2. Jacob Stampe Frølich1,
  3. Lena Sønder Snogdal2,
  4. René Klinkby Støving1
  1. 1Department of Medical Endocrinology, Centre for Eating Disorder, Odense C, Denmark
  2. 2Department of Endocrinology, Sydvestjysk Sygehus Esbjerg, Esbjerg, Denmark
  1. Correspondence to Dr Camilla Viola Buskbjerg Palm, camilla.buskbjerg{at}rsyd.dk

Summary

We present the case of a woman aged 48 years, diagnosed with anorexia nervosa (AN) at the age of 12. She was admitted to a highly specialised eating disorder facility with distended abdomen, muscular atrophy, ulcerative dermatitis, electrolyte derangements and low serum albumin. Her weight was 53.1 kg, corresponding to a body mass index (BMI) of 17.9 kg/m2. After initial stabilisation, a therapeutic ascites puncture relieved the patient from 6500 mL of ascites. After 6 weeks of nutritional and diuretic treatment, the patient was discharged with a weight of 46.8 kg (BMI 15.7 kg/m2), without ascites and with healed ulcerations. The condition was consistent with kwashiorkor, a complication to malnutrition rarely seen in AN.

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Footnotes

  • Contributors CVBP wrote drafts and the final version. JSF supported the whole study and provided critical guidance in the whole writing process. LSS supported the whole study and provided critical guidance in the whole writing process. RKS idea and initial proposal. Wrote the first draft together with CVBP. Supported the whole study and provided critical guidance in the whole writing process. All authors participated in discussions of the case and background literature and approved the completion of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.