Optic neuropathy due to nutritional deficiency in a male adolescent with Avoidant/Restrictive Food Intake Disorder: a case report

  • Francesca ChiarelloEmail author
  • Elisa Marini
  • Andrea Ballerini
  • Valdo Ricca
Case Report


The DSM-5 diagnostic criteria for Avoidant/Restrictive Food Intake Disorder (ARFID) describes a cohort of patients who exhibit restrictive or avoidant eating behaviors. These behaviors often result in significant weight loss, growth compromise, a reliance on nutritional supplements to meet daily energy requirements, nutritional deficiency (e.g., iron deficiency anemia) and/or marked interference with the patient’s psychosocial functioning. Patients with ARFID do not fear weight gain, are not dissatisfied with their body weight, shape, or size, and lack any cognitions typically associated with Anorexia Nervosa (AN).

The aim of the present case report is to expand awareness on ARFID, discussing a patient with multiple comorbidities and a particular clinical presentation.

Case report

The present case report describes and discusses an 18 years old male subject (S) visited at an ophthalmology clinic due to visual loss, and then referred to our psychiatry clinic.

S reported a...


Compliance with ethical standards


This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflict of interest

All the authors declare the absence of any potential conflicts of interest, including specific financial interests and relationships and affiliations relevant to the subject of the manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or nationalresearch committee and with the Declaration of Helsinki and International Conference on Harmonisation/Good Clinical Practice guidelines and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Francesca Chiarello
    • 1
    Email author
  • Elisa Marini
    • 1
  • Andrea Ballerini
    • 1
  • Valdo Ricca
    • 1
  1. 1.Department of Neuroscience, Psychology, Drug Research and Child HealthUniversity of FlorenceFlorenceItaly

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