The Binge-Purge Syndrome: A Common Albeit Unappreciated Cause of Acid-Base and Fluid-Electrolyte Disturbances

Oster,

doi:10.1097/00007611-198701000-00015

Cited by 14 publications

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“…Surreptitious ingestion of laxatives may lead to several clinical syndromes, including diarrhea, hypokalemia, acid-base disturbances, abdominal pain, and weight loss. Such patients may therefore present to their physicians with what appears to be a primary gastrointestinal, endocrine, renal, or neoplastic disorder (1)(2)(3)(4)(5)(6)(7). As with other forms of factitious disease, diagnosis of surreptitious laxative ingestion is difficult and often delayed for many years (3,(7)(8)(9)(10)(11)(12).…”

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confidence: 99%

Factitious Diarrhea Induced by Stimulant Laxatives: Accuracy of Diagnosis by a Clinical Reference Laboratory Using Thin Layer Chromatography

Shelton¹,

Ana²,

Thompson³

et al. 2007

Clinical Chemistry

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Considering the expected prevalence of surreptitious laxative abuse in patients with chronic idiopathic diarrhea (2.4%-25%, depending on the clinical setting), TLC of urine or stool for bisacodyl by this reference laboratory would often produce misleading results, and testing for senna would have no clinical value. The major problems are false-positive tests for bisacodyl and false-negative tests for senna.

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mentioning

confidence: 99%

Factitious Diarrhea Induced by Stimulant Laxatives: Accuracy of Diagnosis by a Clinical Reference Laboratory Using Thin Layer Chromatography

Shelton¹,

Ana²,

Thompson³

et al. 2007

Clinical Chemistry

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Adaptation to severe chronic hypokalemia in anorexia nervosa: A plea for conservative management

Bonne¹,

Bloch²,

Berry³

1993

Int. J. Eat. Disord.

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Severe hypokalemia may constitute a life‐threatening medical emergency. In the group of purging eating disorder patients, potassium blood levels tend to be chronically low while physical signs and symptoms may be absent. Nevertheless, these patients are frequently subjected to vigorous supportive treatment and often an aggressive diagnostic workup. We present a chronic purging anorexia nervosa patient in whom potassium blood levels reach a low of 1.6 mmol/L in the absence of physical symptoms. Purging eating disorder patients adapt to chronic hypokalemia. We believe the clinical/medical approach to this electrolyte disturbance in chronic eating disorder patients should be different from the approach to patients suffering from acute hypokalemia. © 1993 by John Wiley & Sons, Inc.

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Eating Disorders

Sigman¹,

Flanery²

1992

Behavioral Pediatrics

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The Binge-Purge Syndrome: A Common Albeit Unappreciated Cause of Acid-Base and Fluid-Electrolyte Disturbances

Cited by 14 publications

References 0 publications

Factitious Diarrhea Induced by Stimulant Laxatives: Accuracy of Diagnosis by a Clinical Reference Laboratory Using Thin Layer Chromatography

Factitious Diarrhea Induced by Stimulant Laxatives: Accuracy of Diagnosis by a Clinical Reference Laboratory Using Thin Layer Chromatography

Adaptation to severe chronic hypokalemia in anorexia nervosa: A plea for conservative management

Eating Disorders

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