Recurrence of Hypoglycemic Coma in a Patient with Anorexia Nervosa.
Acta Med Okayama
; 75(5): 631-636, 2021.
Article
en En
| MEDLINE
| ID: mdl-34703046
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.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Anorexia Nerviosa
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Coma
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Hipoglucemia
Límite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Acta Med Okayama
Año:
2021
Tipo del documento:
Article