Iron status and haematological changes in adolescent female inpatients with anorexia nervosa

  title={Iron status and haematological changes in adolescent female inpatients with anorexia nervosa},
  author={Andrew Kennedy and M R Kohn and Ahti T. Lammi and Simon Clarke},
  journal={Journal of Paediatrics and Child Health},
Objectives:  (i) To investigate the incidence of iron deficiency (both latent iron deficiency and iron deficiency anaemia) in post menarchal female adolescent patients hospitalized with anorexia nervosa. (ii) To observe changes in iron status during refeeding. 
Medical complications of anorexia nervosa.
The principal medical complications associated with anorexia nervosa are reviewed, associated diagnostic pitfalls are highlighted and the importance of a multidisciplinary approach to management is emphasized.
Unexpected increased ferritin concentration in patients with anorexia nervosa
stage and we encourage others to validate the new formula in different population samples. However, clinical validity and utility studies are of additional importance, as it is necessary to evaluate
Iron metabolism in patients with anorexia nervosa: elevated serum hepcidin concentrations in the absence of inflammation.
Hematologic variables and markers of iron status, including serum hepcidin, were measured before and after nutritional rehabilitation, and Hepcidin and ferritin concentrations were higher in the serum of AN patients, without any evidence of iron overload or inflammation.
Interpreting the Complete Blood Count in Anorexia Nervosa
Anemia, leukopenia and thrombocytopenia are frequent complications of anorexia nervosa and knowledge of these potential findings and their expected outcomes may help avoid costly and potentially invasive procedures in patients with anoremia nervosa.
Medical complications of anorexia nervosa and their treatments: an update on some critical aspects
Most of the medical complications of anorexia nervosa are treatable and reversible with optimal medical care, as part of a multidisciplinary team who are often involved in the care of these patients.
Anorexia nervosa hyperactivity-induced ischemic colitis (ANHIC): a new cause of anaemia
The case of a female adolescent patient with AN presenting severe, recurrent episodes of red blood cell depletion, which did not fit the previously described situations, could be related to a new and underdiagnosed clinical entity the authors called anorexia nervosa hyperactivity-induced ischemic colitis (ANHIC).
[Blunted erythropoietic response in the anemia of anorexia nervosa].
Inadequate EPO response may partly explain anemia in anorexia nervosa, but further studies are necessary.
Blunted erythropoietic response in the anemia of anorexia nervosa
Inadequate EPO response may partly explain anemia in AN, but further studies are necessary.
Iron metabolism and haematological changes in anorexia nervosa: an adult case report
The patient was restricting her energy intake relative to her requirements which had led to significantly low body weight and she had been displaying behaviour persistently interfering weight gain, and she never recognized the seriousness of her low weight.
Respiratory acidosis was the most frequent abnormality with significant pCO2 and HCO3 variation in the recovery phase and VBG should be considered in AN evaluation, once it seems to be important in assessing the severity of the disease and its subsequent follow-up.


[Hematologic changes in anorexia nervosa].
A decreased bone marrow reserve of neutrophils and their margination in blood vessels contributed to leukopenia, which was not associated to an increased number of infections.
Haematological changes and infectious complications in anorexia nervosa: a case-control study.
Compared with controls, AN patients thus had an increased prevalence of anaemia, leucopenia and thrombocytopenia, and a slight but significant correlation between body-mass index (BMI) and total leucocyte, neutrophil and red blood cell counts.
Nutritional status in anorexia nervosa: clinical chemistry, vitamins, iron and zinc.
The results obtained did not indicate an inadequate status of vitamins, iron and zinc in patients with AN, and the status parameters of thiamin, vitamin B6, vitamin C, folate, vitamin E and vitamin D were not significantly different.
Reduced hemodynamic load and cardiac hypotrophy in patients with anorexia nervosa.
Anorexia nervosa is a condition of low hemodynamic load that leads to low LVM, which is lower than would be predicted by height, because of the effect of body weight reduction (ie, wasting of lean body mass).
Exercise performance and body dimensions in anorexia nervosa before and after rehabilitation.
  • L. Fohlin
  • Medicine
    Acta medica Scandinavica
  • 1978
It is concluded that the circulatory system is highly adaptive to the low caloric intake in AN and is totally normalized after weight gain.
Reduced haemodynamic load and cardiac hypotrophy in patients with anorexia nervosa
  • Am. J. Clin. Nutr
  • 2003
Nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified (EDNOS)
  • 1998
Haematologic changes in anorexia
  • nervosa. Rev. Med. Chil
  • 1989
Exercise performance and body dimension in anorexia nervosa after rehabilitation
  • Acta Med. Scand
  • 1978