Anorexia nervosa presenting as diffuse spontaneous air leaks

Tan, Timothy Shao Ern; Jian-cheng, Tan

doi:10.1136/bcr-2018-227838

Cited by 5 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These changes cause the lung tissues to be more susceptible to injury. Patients who purge via vomiting are also predisposed to developing pneumomediastinum and pneumothorax due to the increased intrathoracic pressure associated with vomiting [ 48 ]. If symptomatic, patients with pneumomediastinum most commonly present with chest pain, followed by persistent cough and sore throat [ 49 ].…”

Section: Medical Complicationsmentioning

confidence: 99%

Emergency room presentations of people with anorexia nervosa

et al. 2023

View full text Add to dashboard Cite

People with anorexia nervosa (AN) tend to shy away from engaging in typical primary care provider relationships in order to avoid detection. Therefore, they may seek care for their medical concerns through a local emergency department (ED). Inherently, AN is associated with a litany of medical complications, which become more prevalent as the severity of their eating disorder increases. Notwithstanding the typical young age at the onset of AN, no body system is immune to these medical complications. Thus, ED providers may need to pursue a medical diagnosis in order to explain presenting symptoms in people with AN. In addition to the medical issues, AN is also a serious mental illness with high mortality rates, including deaths by suicide. Therefore, ED providers also need to be familiar with relevant mental health issues for these people.

show abstract

Section: Medical Complicationsmentioning

confidence: 99%

Emergency room presentations of people with anorexia nervosa

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Anorexia nervosa can lead to weakness and wasting of respiratory muscles, dyspnea, reduced aerobic and pulmonary capacity, lung parenchyma alterations, and life-threatening consequences [101]. In recent studies, cases of spontaneous pneumothorax and pneumomediastinum related to starvation have been reported [102][103][104]. Different mechanisms for this have been proposed.…”

Section: Pulmonary Complications In Anorexia Nervosamentioning

confidence: 99%

A Comprehensive Review of Complications and New Findings Associated with Anorexia Nervosa

Puckett

Grayeb

Khatri

et al. 2021

JCM

View full text Add to dashboard Cite

Anorexia nervosa is a complex and deadly psychiatric disorder. It is characterized by a significant degree of both co-occurring psychiatric diseases and widespread physiological changes which affect nearly every organ system. It is important for clinicians to be aware of the varied consequences of this disorder. Given the high rate of mortality due to AN, there is a need for early recognition so that patients can be referred for appropriate medical and psychiatric care early in the course of the disorder. In this study, we present a comprehensive review of the recent literature describing medical findings commonly encountered in patients with AN. The varied and overlapping complications of AN affect pregnancy, psychological well-being, as well as bone, endocrine, gastrointestinal, cardiovascular, and pulmonary systems.

show abstract

“…neumorrhachis, or air within spine canal, is a rare phenomenon in which gas has been introduced into the spinal column most commonly because of iatrogenic causes or traumatic insult 1 . However, there is an increasing number of case reports of spontaneous pneumorrhachis associated with pneumomediastinum secondary to forceful emesis or barotrauma such as heavy coughing [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] . Other reported etiologies include airway obstruction after foreign body aspiration 3 and physical exertion after recreational drug use (Ecstasy and marijuana) 19 .…”

mentioning

confidence: 99%

Spontaneous Pneumorrhachis Secondary to Rhinovirus-Associated Emesis with Demonstrated Pathophysiology

Willenbring,

Stark,

Tallarico

2024

JBJS Case Connector

View full text Add to dashboard Cite

Case: This case of a 14-year-old boy presented with repetitive coughing secondary to a rhinovirus infection. In addition to pneumomediastinum, imaging demonstrated asymptomatic, yet significant holocord pneumorrhachis. Conclusion: Ectopic gas within the spinal canal, also referred to as pneumorrhachis or “epidural gas,” may be traumatic, iatrogenic, or less commonly, spontaneous. It is typically an incidental and asymptomatic finding in the setting of pneumomediastinum. Proposed pathophysiology includes air tracking through the intercostal fascial planes posteriorly through the neuroforamina, which offer a theoretical point of entry. Our case clearly demonstrates air along the entirety of the fascial planes confirming the proposed pathophysiology.

show abstract

Anorexia nervosa presenting as diffuse spontaneous air leaks

Cited by 5 publications

References 3 publications

Emergency room presentations of people with anorexia nervosa

Emergency room presentations of people with anorexia nervosa

A Comprehensive Review of Complications and New Findings Associated with Anorexia Nervosa

Spontaneous Pneumorrhachis Secondary to Rhinovirus-Associated Emesis with Demonstrated Pathophysiology

Contact Info

Product

Resources

About