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Int J Eat Disord. 2006 Nov;39(7):609-11.

Pericardial effusion requiring pericardiocentesis in a girl with anorexia nervosa.

Author information

1
Division of Endocrinology and Metabolic Diseases, University of Milan, Ospedale San Luca IRCCS, Istituto Auxologico Italiano, Milan, Italy.

Abstract

OBJECTIVE:

Silent pericardial effusion is frequently observed in patients with anorexia nervosa. The nature of the pericardial fluid could never be established, as pericardiocentesis was ethically unfeasible.

METHOD:

We describe the case of a girl with anorexia nervosa in whom an initial, clinically irrelevant pericardial effusion increased rapidly, making pericardiocentesis necessary to prevent cardiac tamponade.

RESULTS:

It was thus possible to exclude the inflammatory or infectious nature of the pericardial fluid, although the pathogenesis of this cardiac alteration remains obscure.

CONCLUSION:

Echocardiographic examination appears to be strongly advisable in patients with anorexia nervosa.

PMID:
16937387
DOI:
10.1002/eat.20307
[Indexed for MEDLINE]

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