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Liver function test abnormalities in anorexia nervosa—Cause or effect
Author(s) -
Narayanan Vignesh,
Gaudiani Jennifer L.,
Harris Robert Hill,
Mehler Philip S.
Publication year - 2010
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/eat.20690
Subject(s) - anorexia nervosa , refeeding syndrome , malnutrition , anorexia , medicine , liver function , weight gain , psychology , liver function tests , endocrinology , caloric intake , body weight , eating disorders , psychiatry
Objective: Two females with severe anorexia nervosa (BMI of 10) were seen with marked abnormalities in their liver function tests before the initiation of refeeding. These paradoxically resolved with progressive refeeding and weight restoration. Method: Clinical observation during regimented medical stabilization and refeeding of two patients with severe anorexia nervosa with frequent monitoring of liver function tests. Results: Normalization of liver function tests ensued as caloric intake increased and weight gain progressed. Discussion: Although classically liver function test elevations occur during refeeding, as a manifestation of excessive calories and fat deposition in the liver, they may also be elevated due to severe malnutrition before refeeding has commenced and improved as refeeding occurs. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010