Case Report

Weight restoration in a patient with anorexia nervosa on dialysis

  1. D. Blake Woodside MD1,*,
  2. Patricia Colton MD1,
  3. Randolf Staab MD1,
  4. Martin Schreiber MD2,
  5. Kalam Sutandar-Pinnock MSc3,
  6. Brittany Poynter BSc4,
  7. Tegan Sacevich BSc5

Article first published online: 31 OCT 2005

DOI: 10.1002/eat.20191

Issue

International Journal of Eating Disorders

International Journal of Eating Disorders

Volume 38, Issue 4, pages 380–382, December 2005

Additional Information

How to Cite

Woodside, D. B., Colton, P., Staab, R., Schreiber, M., Sutandar-Pinnock, K., Poynter, B. and Sacevich, T. (2005), Weight restoration in a patient with anorexia nervosa on dialysis. International Journal of Eating Disorders, 38: 380–382. doi: 10.1002/eat.20191

Author Information

  1. 1

    Program for Eating Disorders, Department of Psychiatry, University of Toronto, Toronto, Canada

  2. 2

    Department of Medicine, University of Toronto, Toronto, Canada

  3. 3

    Faculty of Medicine, Queen's University at Kingston, Kingston, Canada

  4. 4

    Faculty of Medicine, University of Western Ontario, London, Canada

  5. 5

    Faculty of Medicine, University of Toronto, Toronto, Canada

*8EN-219, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario, Canada M5G 2C4

Publication History

  1. Issue published online: 15 NOV 2005
  2. Article first published online: 31 OCT 2005
  3. Manuscript Accepted: 21 NOV 2004

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Keywords:

  • weight restoration;
  • anorexia nervosa;
  • renal insufficiency;
  • dialysis

Abstract

Objective

We report a case of weight restoration in a patient with anorexia nervosa, end-stage renal disease (ESRD) requiring dialysis, and cardiac insufficiency.

Method

The technical challenges and ethical issues involved in her clinical management are reviewed. Renal insufficiency is a common complication of more severe anorexia nervosa.

Results

Progression to renal failure, when it occurs, is most typically a terminal event. There are currently no published guidelines for monitoring the weight gain of patients undergoing dialysis.

Conclusion

We present a case of a patient who progressed from renal insufficiency to renal failure while in treatment for anorexia nervosa, and who was ultimately successfully weight restored while on renal dialysis. © 2005 by Wiley Periodicals, Inc.

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