2021年
Recurrence of Hypoglycemic Coma in a Patient with Anorexia Nervosa.
Acta medica Okayama
- 巻
- 75
- 号
- 5
- 開始ページ
- 631
- 終了ページ
- 636
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.18926/AMO/62776
- 出版者・発行元
- OKAYAMA UNIV MED SCHOOL
Anorexia nervosa (AN) is occasionally complicated with hypoglycemic coma, which may cause sudden death by unknown mechanisms. We present the case of a 36-year-old woman with recurrent comas and a nineteen-year history of AN. She was found in a coma with remarkable hypoglycemia (28 mg/dL). Her BMI was 11.1 kg/m2. Endocrine workup revealed extremely low serum levels of glucagon, IGF-I and insulin. Asymptomatic hypoglycemia occurred with liver injury in the refeeding process. An aberrant glucose metabolism due to liver damage might have been involved in her susceptibility to hypoglycemia. This case suggests a possible mechanism of hypoglycemic coma in AN.
- リンク情報
- ID情報
-
- DOI : 10.18926/AMO/62776
- ISSN : 0386-300X
- PubMed ID : 34703046
- Web of Science ID : WOS:000711568400001