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Refeeding syndrome in a young patient with the anxiety-depressive disorder


Authors: J. Vejmelka 1;  P. Kohout 1;  Z. Beneš 1;  Jiří Dolina 2;  A. Hep 2
Authors‘ workplace: II. interní klinika Thomayerovy nemocnice Praha, přednosta MUDr. Zdeněk Beneš, CSc. 1;  Interní gastroenterologická klinika Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Aleš Hep, CSc. 2
Published in: Vnitř Lék 2012; 58(7 a 8): 181-183
Category: 60th Birthday prof. MUDr. Miroslav Penka, CSc.

Overview

The aim of this paper is to emphasise the clinical relevance of refeeding syndrome. Consequent to family intervention, a patient (28 years) with prolonged history of reduced food intake and on vegetarian diet suddenly rapidly increased food intake, including animal protein. This combination of hypermetabolic strain, chronic work overload with periods of acute work and physical (sports) overloading of this anxious-depressive patient have led to severe hypophosphataemia with severe adynamia.

Key words:
refeeding syndrome – food intake – anxiety-depressive disorder – hypophosphataemia


Sources

1. Češka R. Hypofosfatémie. MedicaBaze.cz [online]. ©2007 MedicaBaze.cz. Dostupné z: http://www.medicabaze.cz.

2. Plášek J, Hrabovský V, Martínek A. Refeeding syndrom – skrytá klinická hrozba. Intern Med pro Praxi 2010; 12: 439–441.

3. Roestel C, Hoeping W, Deckert J. Hypophosphatemia in Panic Disorder. Am J Psychiatry 2004; 161: 1499–1500.

4. Jabor J. Vnitřní prostředí. Praha: Grada Publishing 2008: 100–104.

5. Marinella M. Často přehlédnuté diagnózy v akutní péči. Praha: Grada Publishing 2007: 79–82.

6. Mallet M. Refeeding syndrome. Age and Ageing 2002; 31: 65–66.

Labels
Diabetology Endocrinology Internal medicine

Article was published in

Internal Medicine

Issue 7 a 8

2012 Issue 7 a 8

Most read in this issue
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