A Case of Anorexia Nervosa with Acute Renal Failure Induced by Rhabdomyolysis; Possible Involvement of Hypophosphatemia or Phosphate Depletion

Seiki WADA, Terumasa NAGASE, Yuji KOIKE, Nobuo KUGAI, Naokazu NAGATA
1992 Internal medicine (Tokyo. 1992)  
A 16-year-old girl with anorexia nervosa first presented with malnutrition, liver dys function, and rhabdomyolysis. Administration of fluid and nutrition saved her from the initial critical state, but acute renal failure followed. Laboratory examination revealed intrinsic renal failure induced by rhabdomyolysis. Latent phosphate depletion and refeeding-induced hypo phosphatemia was implicated as the cause of rhabdomyolysis; however coexisting hypotension, dehydration, and liver dysfunction may
more » ... ave contributed to the renal failure. The patient recovered from azotemia by hemodialysis. This is the first reported case of anorexia nervosa with acute renal failure resulting from rhabdomyolysis induced by hypophosphatemia or phosphate depletion. (Internal Medicine 31: 478-482, 1992)
doi:10.2169/internalmedicine.31.478 fatcat:oyxv7sgtafadvpy7ljedqimyty