Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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심장막삼출을 동반한 신경성 식욕부진 3예

Pericardial effusion in three cases of anorexia nervosa

  • 조영국 (전남대학교 의과대학 의과학연구소 소아과학교실) ;
  • 양수진 (전남대학교 의과대학 의과학연구소 정신과학교실) ;
  • 마재숙 (전남대학교 의과대학 의과학연구소 소아과학교실)
  • Cho, Young Kuk (Department of Pediatrics, Chonnam National University Medical School and Research Institute of Medical Sciences) ;
  • Yang, Su Jin (Department of Psychiatry, Chonnam National University Medical School and Research Institute of Medical Sciences) ;
  • Ma, Jae Sook (Department of Pediatrics, Chonnam National University Medical School and Research Institute of Medical Sciences)
  • 투고 : 2007.12.15
  • 심사 : 2008.01.14
  • 발행 : 2008.02.15
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초록

신경성 식욕부진은 여자 청소년에 있어서 체중 감소의 주된 원인임과 동시에 소아와 청소년에 있어서 입원의 주된 원인 중의 하나이다. 이는 생명을 위협할 수 있는 장애로서 약 1/3에서 심장 합병증으로 사망한다. 신경성 식욕부진 환자에서 심장막삼출이 높은 발생빈도를 보인다고 최근에 보고되고 있으나 심장막천자술이 필요한 경우는 흔하지 않다. 저자들은 많은 양의 심장막삼출을 동반한 3명의 신경성 식욕부진 여아를 경험하였기에 보고하고자 한다. 이 중 2명은 심낭압전의 가능성이 있어서 심장막천자술이 필요하였다.

In young adolescent girls, anorexia nervosa is a significant cause of weight loss, and hospital admissions among children and adolescents. Anorexia nervosa is a life-threatening disorder, with about one-third of deaths caused by cardiac complications. A high rate of pericardial effusion has been recently reported in patients with anorexia nervosa, although relatively few cases require pericardiocentesis. Here, we describe three patients with anorexia nervosa who were diagnosed with large pericardial effusions. To prevent cardiac tamponade, pericardiocentesis was performed in two girls.

키워드

참고문헌

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피인용 문헌

  1. 자발적 위천공을 동반한 신경성 식욕부진 환자의 재급식 증후군 치험 1예 vol.12, pp.1, 2008, https://doi.org/10.5223/kjpgn.2009.12.1.51
  2. Echocardiographic findings in adolescents with anorexia nervosa at beginning of treatment and after weight recovery vol.21, pp.1, 2008, https://doi.org/10.1007/s00787-011-0227-8
  3. Radiology of Eating Disorders: A Pictorial Review vol.33, pp.4, 2013, https://doi.org/10.1148/rg.334125160
  4. Cardiovascular Impact of Eating Disorders in Adults: A Single Center Experience and Literature Review vol.16, pp.3, 2015, https://doi.org/10.4103/1995-705x.164463
  5. Cardiac changes in anorexia nervosa vol.26, pp.4, 2008, https://doi.org/10.1017/s104795111500267x