Weight restoration in a patient with anorexia nervosa on dialysis

Woodside, D. Blake; Colton, Patricia; Staab, Randolf; Schreiber, Martin; Sutandar-Pinnock, Kalam; Poynter, Brittany; Sacevich, Tegan

doi:10.1002/eat.20191

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Though there are some reports of renal failure in patients with anorexia nervosa, few reports are available concerning patients who required maintenance dialysis 6 7. This maybe because patients with anorexia nervosa die from medical complications before progressing to ESRD 6…”

Section: Discussionmentioning

confidence: 99%

Anorexia nervosa and dialysis: we have no time when the body is so damaged!

et al. 2013

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Anorexia nervosa remains challenging to treat and difficult to prevent. Nearly 5% of affected individuals die of this disease and 20% develop a chronic eating disorder. Anorexia nervosa may be associated with several medical complications of varying severity, including dysfunction of the renal system. Though there are some reports of renal failure in patients with anorexia nervosa, few reports are available concerning patients who required maintenance dialysis. We report a case of a patient with long-term untreated anorexia nervosa-binge eating/purging type who started psychiatric treatment when in a life-threatening situation (renal failure requiring dialysis), with unsuccessful weight recovery while on dialysis and died of septicaemia. The mechanisms that seem to be involved in the development of end-stage renal disease in this patient and the challenges associated with her treatment are reviewed. Patients with anorexia nervosa should be carefully monitored to discover the subtle manifestations of early renal failure.

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Section: Discussionmentioning

confidence: 99%

Anorexia nervosa and dialysis: we have no time when the body is so damaged!

et al. 2013

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Poor kidney graft survival in anorexia nervosa patients

et al. 2020

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Impact of peritoneal dialysis on weight gain in a patient with anorexia nervosa

Iimori,

Kitani,

Shiotsu

et al. 2025

Perit Dial Int

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Anorexia nervosa (AN) is an eating disorder characterized by restriction of energy intake leading to a significantly low body weight, and intense fear of gaining weight. Severe electrolyte changes such as hypokalemia and hypophosphatemia; and alterations in water metabolism such as hyponatremia and edema, can occur in patients with AN. Hypokalemia and chronic volume depletion may lead to acute kidney injury (AKI) and chronic kidney disease (CKD). There are few reports of patients with AN who require maintenance dialysis. Therefore, it is unclear whether hemodialysis (HD) or peritoneal dialysis (PD) is suitable for such patients. We report a case of kidney failure that developed in the patient with AN who received successful psychiatric treatment aimed at weight gain while performing PD. The safety of PD may be improved in patients who also undergo cognitive behavioral psychotherapeutic intervention.

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Weight restoration in a patient with anorexia nervosa on dialysis

Abstract: We present a case of a patient who progressed from renal insufficiency to renal failure while in treatment for anorexia nervosa, and who was ultimately successfully weight restored while on renal dialysis.

Cited by 3 publications

References 4 publications

Anorexia nervosa and dialysis: we have no time when the body is so damaged!

Anorexia nervosa and dialysis: we have no time when the body is so damaged!

Poor kidney graft survival in anorexia nervosa patients

Impact of peritoneal dialysis on weight gain in a patient with anorexia nervosa

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