Severe hypophosphataemia during binge eating in anorexia nervosa

• Published in: Archives of disease in childhood Vol. 66; no. 1; pp. 138 - 139
• Main Authors: Kaysar, N, Kronenberg, J, Polliack, M, Gaoni, B
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01-01-1991; BMJ; BMJ Publishing Group LTD
• Subjects: Adolescent; Anorexia; Anorexia Nervosa - blood; Anorexia Nervosa - complications; Anorexia Nervosa - therapy; Biological and medical sciences; Bulimia - blood; Bulimia - complications; Eating behavior; Eating disorders; Enteral Nutrition; Female; Humans; Hyperalimentation; Hypophosphatemia; Medical sciences; Pediatrics; Phosphates - blood; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Human; Case study; Adolescent; Hypophosphatemia; Psychopathology; Nervous anorexia; Feeding
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/adc.66.1.138

A patient presented with severe hypophosphataemia that had been precipitated during binge eating. It was corrected by restricting the binges, and by hyperalimentation through a duodenal tube together with intravenous supplementation with sodium phosphate for a short period. Phosphate concentrations should be monitored in patients with severe anorexia complicated by bulimic episodes.