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자료유형
학술저널
저자정보
저널정보
대한신경정신의학회 신경정신의학 신경정신의학 제52권 제5호
발행연도
2013.1
수록면
365 - 371 (7page)

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Objectives Medical complications are common and often serious in patients with eating disorders,however, little is known about complications in patients with bulimia nervosa. Methods We conducted a retrospectively investigation of clinical characteristics and hematologic,biochemical, hormonal, and bone density evaluations in 90 Korean women with bulimia nervosa together with 100 healthy Korean women of comparable ages. Results In patients with bulimia nervosa, 20% were anemic, 3.3% were hypokalemic, 14.4%had increased alanine aminotransferase, 24.4% were lower in serum protein, 8.8% were hypercholesterolemia,and 77.8% were hyperamylasemia. Osteopenia at any one site was identified in 26.7% of patients and the lowest-ever body mass index was the main determinant of bone mineral density in patients with bulimia nervosa. Conclusion In this study, many features of medical findings reported in anorexia nervosa were found in bulimia nervosa, however, the findings in bulimia nervosa were milder form than in anorexia nervosa. Management of any physical abnormalities in bulimia nervosa should focus on correction of the eating disorder.

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