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Anorexia nervosa: Refeeding and hypophosphatemia
Author(s) -
Birmingham C. Laird,
Alothman Adel F.,
Goldner Elliot M.
Publication year - 1996
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/(sici)1098-108x(199609)20:2<211::aid-eat13>3.0.co;2-5
Subject(s) - hypophosphatemia , refeeding syndrome , anorexia nervosa , discontinuation , phosphate , medicine , anorexia , endocrinology , psychology , pediatrics , eating disorders , malnutrition , psychiatry , biochemistry , chemistry
A case of anorexia nervosa (AN) is reported where heart failure occurred secondary to severe hypophosphatemia despite oral phosphate supplementation. We recommend starting patients with AN on oral phosphate when refeeding is begun, monitoring serum phosphate every 1 to 2 days for at least the first week of refeeding, and discontinuation of refeeding during phosphate supplementation should severe hypophosphatemia develop. © 1996 by John Wiley & Sons, Inc.