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. 1991 May;67(787):460–461. doi: 10.1136/pgmj.67.787.460

Hypoglycaemia associated with anorexia nervosa.

V Fonseca 1, S Ball 1, V Marks 1, C W Havard 1
PMCID: PMC2398865  PMID: 1852666

Abstract

A 41 year old woman with severe emaciation due to longstanding anorexia nervosa presented with recurrent hypoglycaemia. During an episode of hypoglycaemia, serum insulin and C peptide were undetectable and plasma beta hydroxybutyrate, free fatty acids and lactate were inappropriately low. Response to intravenous glucagon was poor. Muscle enzymes were grossly elevated until she gained weight. Hypoglycaemia was abolished by weight gain.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alloway R., Shur E., Obrecht R., Russell G. F. Physical complications in anorexia nervosa. Haematological and neuromuscular changes in 12 patients. Br J Psychiatry. 1988 Jul;153:72–75. doi: 10.1192/bjp.153.1.72. [DOI] [PubMed] [Google Scholar]
  2. Bruch H. Death in anorexia nervosa. Psychosom Med. 1971 Mar-Apr;33(2):135–144. doi: 10.1097/00006842-197103000-00005. [DOI] [PubMed] [Google Scholar]
  3. Copeland P. M., Herzog D. B. Hypoglycemia and death in anorexia nervosa. Psychother Psychosom. 1987;48(1-4):146–150. doi: 10.1159/000288045. [DOI] [PubMed] [Google Scholar]
  4. Fonseca V., Havard C. W. Electrolyte disturbances and cardiac failure with hypomagnesaemia in anorexia nervosa. Br Med J (Clin Res Ed) 1985 Dec 14;291(6510):1680–1682. doi: 10.1136/bmj.291.6510.1680. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Mira M., Stewart P. M., Vizzard J., Abraham S. Biochemical abnormalities in anorexia nervosa and bulimia. Ann Clin Biochem. 1987 Jan;24(Pt 1):29–35. doi: 10.1177/000456328702400104. [DOI] [PubMed] [Google Scholar]
  6. Patton G. The course of anorexia nervosa. BMJ. 1989 Jul 15;299(6692):139–140. doi: 10.1136/bmj.299.6692.139. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Rajs J., Rajs E., Lundman T. Unexpected death in patients suffering from eating disorders. A medico-legal study. Acta Psychiatr Scand. 1986 Dec;74(6):587–596. doi: 10.1111/j.1600-0447.1986.tb06288.x. [DOI] [PubMed] [Google Scholar]
  8. Ratcliffe P. J., Bevan J. S. Severe hypoglycaemia and sudden death in anorexia nervosa. Psychol Med. 1985 Aug;15(3):679–681. doi: 10.1017/s0033291700031536. [DOI] [PubMed] [Google Scholar]
  9. Smith J. Hypoglycaemic coma associated with anorexia nervosa. Aust N Z J Psychiatry. 1988 Dec;22(4):448–453. doi: 10.3109/00048678809161355. [DOI] [PubMed] [Google Scholar]
  10. Wharton B. Hypoglycaemia in children with kwashiorkor. Lancet. 1970 Jan 24;1(7639):171–173. doi: 10.1016/s0140-6736(70)90408-3. [DOI] [PubMed] [Google Scholar]
  11. Zalin A. M., Lant A. F. Anorexia nervosa presenting as reversible hypoglycaemic coma. J R Soc Med. 1984 Mar;77(3):193–195. doi: 10.1177/014107688407700307. [DOI] [PMC free article] [PubMed] [Google Scholar]

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