Refiding syndrome and spontaneous pneumomediastinum in a teenage girl with anorexia nervosa

Abstract

Anorexia nervosa is a syndrome associated with a deliberate decrease in body weight caused and / or maintained by the patient himself through a sharp restriction of the amount of food taken up to complete rejection of it, an obsessive fear of weight gain. The article describes a clinical case of a 15-year-old girl with anorexia nervosa and the development of severe protein-calorie deficiency, refiding syndrome and spontaneous pneumomediastinum, which required intensive therapy. The clinical features of the course of the disease and observation of the patient in dynamics are presented. Following modern clinical guidelines helped to identify complications in a timely manner, streamline diagnostic tactics, establish a diagnosis and determine the necessary therapy. The alertness of specialists regarding the appearance of complications, against the background of this eating disorder, will allow timely establishing the correct diagnosis, determining approaches to choosing a method of nutrition, tactics for expanding the diet, as well as drug correction of existing conditions.