Bilateral osteonecrosis of the talus and “standing obsession” in a patient with anorexia nervosa
Article first published online: 16 MAR 2001
Copyright © 2001 John Wiley & Sons, Inc.
International Journal of Eating Disorders
Volume 29, Issue 3, pages 363–369, April 2001
How to Cite
Milos, G., Willi, J. and Häuselmann, H. (2001), Bilateral osteonecrosis of the talus and “standing obsession” in a patient with anorexia nervosa. Int. J. Eat. Disord., 29: 363–369. doi: 10.1002/eat.1032
- Issue published online: 16 MAR 2001
- Article first published online: 16 MAR 2001
- Manuscript Accepted: 14 JAN 2000
- anorexia nervosa;
- obsessive-compulsive disorder;
We report a case of a 24-year-old woman with anorexia nervosa (AN), obsessive-compulsive disorder (OCD), and osteoporosis. During 8 years of illness, her body mass index (BMI) fluctuated between 10 and 13,5 kg/m2. She developed hyperactivity and the habit to stand for all daily activities. She did not allow herself to sit at any time, she had “standing obsession.” A few weeks after her admission to an inpatient unit for eating disorders, she reported pain in both ankles.
Results and Discussion
The rheumatological diagnosis was bilateral osteonecrosis of the talus and generalized osteoporosis. The latter and excessive biomechanical stress could be interpreted as the cause for this serious and irreversible bone destruction. The following case shows how the psychiatric comorbidity of a patient suffering from an eating disorder with a chronic course can lead to severe somatic complications. © 2001 by John Wiley & Sons, Inc. Int J Eat Disord 29: 363–369, 2001.