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Dreijahresverlauf nach erfolgreicher Therapie schwerstgradiger Anorexia nervosa

3-year course after successful therapy of extreme anorexia nervosa

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Zusammenfassung

Anorexia nervosa ist eine häufige psychische Erkrankung im Jugend- und jungen Erwachsenenalter und ist oft mit einem chronischen Verlauf und einer hohen Rate an psychischen Komorbiditäten assoziiert. Nach wie vor ist Anorexia nervosa die psychische Erkrankung mit der höchsten Mortalität. Der vorliegende Fall beschreibt eine Patientin mit extrem ausgeprägter und chronifizierter Anorexia nervosa, die nach einer sehr konsequenten stationären Behandlung remittierte und im 3‑Jahres-Verlauf als geheilt gelten kann. Eine 21-jährige, seit sieben Jahren erkrankte Patientin wurde kurz nach Erreichen eines Minimalgewichts von 25 kg bei 171 cm Körpergröße (BMI 8,5 kg/m2) auf eine internistische Intensivstation aufgenommen und nach Stabilisierung und Erreichen eines BMI von 10,0 kg/m2 in eine Spezialklinik zur Behandlung von Essstörungen überwiesen. Es kam zu einer Remission mit Erreichen von Normalgewicht bei regelmäßigen Verlaufskontrollen (BMI 20,0 kg/m2) und der Normalisierung der Essstörungspathologie. Ein 3‑Jahres-Follow-up zeigt jetzt anhaltende Remission sämtlicher, im Rahmen der Erkrankung extrem ausgeprägten Symptome.

Abstract

Anorexia nervosa is a common psychiatric disorder in adolescents and young adults and is often associated with high rates of comorbidities and a chronic course of the disease. Additionally, it still shows the highest rates of mortality among all psychiatric disorders. The case presented describes a female patient with severe and enduring anorexia nervosa who achieved remission after strict adherence to inpatient treatment and showed a full recovery in the 3‑year follow-up. Shortly after achieving a minimum weight of 25 kg (171 cm, body mass index 8.5 kg/m2) the 21-year-old, chronically ill patient was admitted to an intensive care unit. After a phase of stabilization and achieving a BMI of 10 kg/m2, she was transferred to a hospital specialized in treating eating disorders. It came to a full recovery of the patient including full weight restoration during regular follow-ups (BMI 20.0 kg/m2) and normalization of the psychopathology of the eating disorder. In a 3-year follow-up, the patient presented with an enduring and complete remission of all symptoms, which were extremely expressed during the illness.

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  1. Schön Klinik Roseneck, Am Roseneck 6, 83209, Prien am Chiemsee, Deutschland

    U. Voderholzer

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  1. U. Voderholzer
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  2. M. Fumi
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  3. J. Werz
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  4. T. Körner
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  5. U. Cuntz
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Correspondence to U. Voderholzer.

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U. Voderholzer, M. Fumi, J. Werz, T. Körner und U. Cuntz geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Voderholzer, U., Fumi, M., Werz, J. et al. Dreijahresverlauf nach erfolgreicher Therapie schwerstgradiger Anorexia nervosa . Nervenarzt 89, 1063–1068 (2018). https://doi.org/10.1007/s00115-018-0592-3

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