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KMID : 1128320110090010032
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Electrolytes & Blood Pressure
2011 Volume.9 No. 1 p.32 ~ p.37
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Orthorexia Nervosa with Hyponatremia, Subcutaneous Emphysema, Pneumomediastimum, Pneumothorax, and Pancytopenia
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Park Sang-Won
Kim Jeong-Yup
Go Gang-Ji
Jeon Eun-Sil
Pyo Heui-Jung
Kwon Young-Joo
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Abstract
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30-year-old male was admitted with general weakness and drowsy mental status. He had eaten only 3-4 spoons of brown rice and fresh vegetable without salt for 3 months to treat his tic disorder, and he had been in bedridden state. He has had weight loss of 14 kg in the last 3 months. We report a patient with orthorexia nervosa who developed hyponatremia, metabolic acidosis, subcutaneous emphysema, mediastinal emphysema, pneumothorax, and pancytopenia and we will review the literature. Also, we mention to prevent refeeding syndrome, and to start and maintain feeding in malnourished patients.
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KEYWORD
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orthorexia nervosa, hyponatremia, subcutaneous emphysema, pancytopenia, refeeding syndrome
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