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Eating disorder - a diagnosis of exclusion

dc.contributor.authorFonseca, Margarida Silva
dc.contributor.authorSantos, Helena
dc.contributor.authorGuedes, Raquel
dc.contributor.authorTavares, Hugo Braga
dc.date.accessioned2020-07-13T14:52:15Z
dc.date.available2020-07-13T14:52:15Z
dc.date.issued2020-06-15
dc.description.abstractIn adolescents with weight loss, diagnoses other than eating disorders should be considered, namely neurological diseases. A 16-year-old girl with an intellectual development disorder was referred to the Adolescent Medicine outpatient clinic from Child Psychiatry with a diagnosis of eating disorder and persistent anemia. Her body mass index was consistently below the fifth percentile and long-lasting eating difficulties were reported since the age of 15. The girl had no other gastrointestinal, articular, or respiratory complaints, neither polyuria, polydipsia, or recurrent fever. Parental divorce and domestic violence were reported. The patient complained of excessive daytime sleepiness, asthenia, intermittent myalgia, and muscular weakness episodes. Phenotypic characteristics and personal medical history led to clinical suspicion of a neuromuscular disease and genetic study confirmed myotonic dystrophy type 1. This case highlights the importance of considering other diagnoses besides eating disorders in adolescents with eating problems. An exhaustive evaluation of personal and family medical history, patient complaints, and detailed physical examination is mandatory.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNascer e Crescer - Birth and Growth Medical Journal 2020;29(2): 113-116. doi:10.25753/BirthGrowthMJ.v29.i2.15091pt_PT
dc.identifier.doi10.25753/BirthGrowthMJ.v29.i2.15091pt_PT
dc.identifier.eissn2183-9417
dc.identifier.urihttp://hdl.handle.net/10400.16/2419
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Hospitalar Universitário do Portopt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectadolescencept_PT
dc.subjecteating disorderspt_PT
dc.subjectgenetic testingpt_PT
dc.subjectmyotonic dystrophy type 1pt_PT
dc.titleEating disorder - a diagnosis of exclusionpt_PT
dc.title.alternativePerturbação do comportamento alimentar - um diagnóstico de exclusãopt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePortopt_PT
oaire.citation.endPage116pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage113pt_PT
oaire.citation.titleNascer e Crescer - Birth and Growth Medical Journalpt_PT
oaire.citation.volume29pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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