The authors present a case exhibiting transient eating disorder in early childhood, alongside discussion of some considerations relevant to this age group. The subject was a boy aged 5 years 6 months at first presentation. [ncbi.nlm.nih.gov]

Dunkel, Psychiatric manifestations as initial presentation for pediatric CNS germ cell tumors, a case series, Child's Nervous System, 32, 8, (1359), (2016). [doi.org]

• Weight Loss

  Frequent comments about feeling “fat” or overweight despite weight loss. Anxiety about gaining weight or being “fat.” Denial of hunger. [web.archive.org]

  The patient's upper gastrointestinal symptoms and weight loss were found to be secondary to gastric outlet obstruction from a gastric adenocarcinoma. [ncbi.nlm.nih.gov]

  WARNING SIGNS & SYMPTOMS OF ANOREXIA NERVOSA Emotional and behavioral Dramatic weight loss Dresses in layers to hide weight loss or stay warm Is preoccupied with weight, food, calories, fat grams, and dieting Refuses to eat certain foods, progressing [nationaleatingdisorders.org]

  Results: The patient's upper gastrointestinal symptoms and weight loss were found to be secondary to gastric outlet obstruction from a gastric adenocarcinoma. [doi.org]

• Weight Gain

  Results: A 42‐year‐old woman with a 27‐year history of AN had involuntary weight gain when she became hyperthyroid, but lost weight after treatment of the hyperthyroidism. [doi.org]

  Abstract We report a 13-year-old girl with epilepsy who experienced syncope after rapid weight loss due to an eating disorder. She developed a lethal (atrioventricular block) arrhythmia, which improved after weight gain. [ncbi.nlm.nih.gov]

• Weakness

  Muscle loss and weakness. Severe dehydration, which can result in kidney failure. Fainting, fatigue, and overall weakness. Dry hair and skin; hair loss is common. [web.archive.org]

  Anorexia can lead to health problems caused by undernutrition and low body weight, such as: low blood pressure slow or irregular heartbeats feeling tired, weak, dizzy, or faint constipation and bloating irregular periods weak bones delayed puberty and [kidshealth.org]

  […] enamel erosion, cavities, and tooth sensitivity Dry skin Dry and brittle nails Swelling around area of salivary glands Fine hair on body (lanugo) Thinning of hair on head, dry and brittle hair Cavities, or discoloration of teeth, from vomiting Muscle weakness [nationaleatingdisorders.org]

• Fatigue

  We report a case of ventricular fibrillation in a patient presenting with fatigue and a recent history of vomiting. [ncbi.nlm.nih.gov]

  Excessive, rigid exercise regimen--despite weather, fatigue, illness, or injury, the need to “burn off” calories taken in. Withdrawal from usual friends and activities. [web.archive.org]

  Levocarnitine administration in elderly subjects with rapid muscle fatigue: Effect on body composition, lipid profile and fatigue. Drugs Aging 2003 ; 20: 761 – 767. Google Scholar | Crossref | Medline | ISI [doi.org]

  Resists or is unable to maintain a body weight appropriate for their age, height, and build Maintains an excessive, rigid exercise regime – despite weather, fatigue, illness, or injury Learn more about anorexia nervosa > BULIMIA NERVOSA Evidence of binge [nationaleatingdisorders.org]

• Poor Growth

  A 15-y-old adolescent male presented with poor growth, low weight, abdominal pain and yellow pigmentation. Further bizarre multi-system symptomatology resulted in a protracted admission with multiple investigations. [ncbi.nlm.nih.gov]

• Palpitations

  They also have palpitations, high body temperature and a tendency to get tired easily. On the other hand, hypothyroidism happens when the thyroid gland does not actively produce thyroid hormones to keep the body running normally. [pna.gov.ph]

  […] while it is reversible with treatment and refeeding, it is possible that it may cause permanent, microscopic changes to the heart muscle that increase the risk of sudden cardiac death.[127] Individuals with anorexia nervosa may experience chest pain or palpitations [en.wikipedia.org]

• Orthostatic Hypotension

  Hypotension (low blood pressure) is common, and symptoms include fatigue and weakness. Orthostatic hypotension, a marked decrease in blood pressure when standing from a supine position, may also occur. [en.wikipedia.org]

• Hypotension

  Hypotension (low blood pressure) is common, and symptoms include fatigue and weakness. Orthostatic hypotension, a marked decrease in blood pressure when standing from a supine position, may also occur. [en.wikipedia.org]

• Osteoporosis

  Osteoporosis has been reported in anorexia nervosa (AN), but not in other eating disorders. [ncbi.nlm.nih.gov]

  Reduction of bone density (osteoporosis), which results in dry, brittle bones. Muscle loss and weakness. Severe dehydration, which can result in kidney failure. Fainting, fatigue, and overall weakness. Dry hair and skin; hair loss is common. [web.archive.org]

  Ransom, Osteoporosis and the Female Athlete Triad, Osteoporosis Rehabilitation, 10.1007/978-3-319-45084-1_19, (445-470), (2017). Angela E. Lee-Winn, Lisa Townsend, Shauna P. [doi.org]

• Alopecia

  PDDPC includes the psychophysiologic disorders such as atopic eczema, psoriasis, vitiligo, and alopecia areata. [link.springer.com]

• Hypertrichosis

  Localized acquired hypertrichosis. AMA Arch Derm Syphilol 1952; 65 (4): 458–63 PubMed CrossRef Google Scholar 34. Tanaka OM, Vitral RW, Tanaka GY, et al. Nailbiting, or onychophagia: a special habit. [link.springer.com]

• Denial

  Denial of hunger. Development of food rituals (e.g. eating foods in certain orders, excessive chewing, rearranging food on a plate). Consistent excuses to avoid mealtimes or situations involving food. [web.archive.org]

  Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight. [nationaleatingdisorders.org]

  This case was further complicated by the well-defined history of anorexia nervosa (binge-purge type), major depressive disorder, obsessive-compulsive disorder, migraine headache, and the initial denial of cannabis use. [ncbi.nlm.nih.gov]

• Loss of Libido

  Anemia Severe dehydration, which can lead to kidney failure Dry skin and hair loss Slowed digestion ( gastroparesis ) Fainting, fatigue, and overall weakness Menstrual irregularities or loss of libido Depression ( 12 ) Anorexia: Dying to Be Thin People [everydayhealth.com]

• Peripheral Neuropathy

  Lower extremity pain secondary to tabes is described as shooting, in contrast to pain secondary to pain due to diabetic and other peripheral neuropathies, which is often described as burning (Swartz, 1990). [web.archive.org]

• Kidney Failure

  Severe dehydration, which can result in kidney failure. Fainting, fatigue, and overall weakness. Dry hair and skin; hair loss is common. [web.archive.org]

  […] might not have kidney failure — many other things can cause them. [kidshealth.org]

  Some of the major health risks resulting from eating disorders include: heart failure osteoporosis infertility kidney failure depressed immune system pneumonia liver disease exercise-related injuries such as stress fractures death We need to be aware [uhs.berkeley.edu]

  Severe, prolonged dehydration can lead to kidney failure. Inadequate nutrition can decrease the number of certain types of blood cells. Anemia develops when there are too few red blood cells or too little iron in the diet. [nationaleatingdisorders.org]

The medical workup, treatment and outcome are described. Using cognitive-behavioural therapy, clomipramine and enteral nutrition, weight gain and disappearance of restrictive and obsessive-compulsive behaviours were obtained. [ncbi.nlm.nih.gov]

[…] reported in individuals with depression. 88, 89 Fatigue There is now good evidence to show not only that fatigue can be a symptom of CD, but also that it is a common clinical presentation. 90 – 93 Serological screening for CD is now recommended in the workup [doi.org]

The diagnostic workup typically includes complete medical and psychosocial history and follows a rational and formulaic approach to the diagnosis. [en.wikipedia.org]

Family treatment-systemic and insight oriented individual psychotherapy are probably efficacious treatments for adolescents with anorexia nervosa. [ncbi.nlm.nih.gov]

Self‐help treatments can be used as a "stand‐alone" treatment or in conjunction with other treatments (both psychological and pharmacological). [doi.org]

On the other hand, a prognosis concerning human problems may influence the further course considerably. A pessimistic prognosis for a line of business may start a negative trend.” [doi.org]

Abstract Eating disorders are potentially life threatening and have not lost their relatively poor prognosis in the last decades. [ncbi.nlm.nih.gov]

These distinctions may be relevant to etiology, prognosis, and treatment. [ncbi.nlm.nih.gov]

To explore how genetic epidemiology has informed the identification of endophenotypes and how endophenotypes may inform future classification of eating disorders. Literature review and synthesis. [ncbi.nlm.nih.gov]

The genetic epidemiology of bulimia nervosa. American Journal of Psychiatry 148, 1627 – 1637. Kendler, K. S., Neale, M. C., Kessler, R. C., Heath, A. C. & Eaves, L. J. ( 1992 ). [doi.org]

Further studies are necessary to provide more insight into the epigenetic dysregulation of the dopaminergic neurotransmission in the pathophysiology of eating disorders. [ncbi.nlm.nih.gov]

[…] of high-risk groups and prevention (n = 21). [ncbi.nlm.nih.gov]

In the present study exposure plus response prevention was used in the context of a 6-wk., 12-session behavioral group. [doi.org]