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307.1 Anorexia Nervosa - Associated laboratory findings

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Although some individuals with Anorexia Nervosa exhibit no laboratory abnormalities, the semistarvation characteristic of this disorder can affect most major organ systems and produce a variety of disturbances. The induced vomiting and abuse of laxatives, diuretics, and enemas can also cause

a number of disturbances leading to abnormal laboratory findings.

Hematology: Leukopenia and mild anemia are common; thrombocytopenia occurs rarely.

Chemistry: Dehydration may be reflected by an elevated blood urea nitrogen (BUN). Hypercholesterolemia is common. Liver function tests may be elevated. Hypomagnesemia, hypozincemia, hypophosphatemia, and hyperamylasemia are occasionally found. Induced vomiting may lead to metabolic alkalosis (elevated serum bicarbonate), hypochloremia, and hypokalemia, and laxative abuse may cause a metabolic acidosis. Serum thyroxine (T) levels are usually in the low-normal range; triiodothyronine (T) levels are decreased. Hyperadrenocorticism and abnormal responsiveness to a variety of neuroendocrine challenges are common.

In females, low serum estrogen levels are present, whereas males have low levels of serum testosterone. There is a regression of the hypothalamic-pituitary-gonadalaxis in both sexes in that the 24-hour pattern of secretion of luteinizing hormone (LH) resembles that normally seen in prepubertal or pubertal individuals.

Electrocardiography: Sinus bradycardia and, rarely, arrhythmias are observed.

Electroencephalography: Diffuse abnormalities, reflecting a metabolicencephalopathy, may result from significant fluid and electrolyte disturbances.

Brain imaging: An increase in the ventricular-brain ratio secondary to starvation is often seen.

Resting energy expenditure: This is often significantly reduced.

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JoannaPoppink Never too late or too early to start your recovery. Now is the best time, the only time. Read: Healing Your Hungry… https://t.co/WpFJWUHVzP
6hreplyretweetfavorite
JoannaPoppink Can't trust yourself with food? Make small daily non food related task commitments, and keep them. Build your self… https://t.co/aRHxYTU9V7
16hreplyretweetfavorite
JoannaPoppink Symptoms are not character flaws. Read: Healing Your Hungry Heart: Recovering from Your Eating Disorder https://t.co/zzzkbdvzQD via @amazon
JoannaPoppink From Jeffrey Sachs who I have long admired. The American political system has not been focused on how to end the ep… https://t.co/jTQV89I4sq
JoannaPoppink Eating Disorders: More than about eating and appearance. A reminder that symptoms are not character flaws. https://t.co/RC90jcAJz8

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