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Studies from Istanbul University have provided new information about eating disorders



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2008 JAN 16 -- In this recent report, researchers in Istanbul, Turkey conducted a study "To describe and discuss potential relationships between anorexia nervosa (AN) and Raynaud's phenomenon, the course and concurrent treatment of these two disorders as they appeared simultaneously, and a potential treatment modification entailed in such concurrent therapies. Although Raynaud's phenomenon has been described during the course of AN, the associations and interactions between these two conditions are not clear."

"We report the medical workup, treatment, and outcomes in a 19-year old female patient who developed Raynaud's phenomenon following the onset of AN. After treatment with nutritional rehabilitation, counseling, and individual and group therapy, the patient's weight, eating disorder-related behaviors, and attitudes improved significantly. Raynaud's related symptoms improved, following treatment with a calcium chan-nel blocker and antiaggregant therapy. In conjunction with nutritional efforts to treat the patient's long-standing amenorrhea and osteopenia, the treatment team elected to also administer estrogen hormone in addition to oral calcium and vitamin D supplementation. Since oral contraceptives are to be avoided in patients with Raynaud's phenomenon who show clinical findings suggesting connective tissue disorder, the treatment team elected to treat this patient with transdermal hormone replacement therapy," wrote B. Yucel and colleagues, Istanbul University.

The researchers concluded: "The co-occurrence of AN and Raynaud's phenomenon merits close and persistent follow-up by a multidisciplinary team and may lead to alterations of usual therapeutic approaches."

Yucel and colleagues published their study in International Journal of Eating Disorders (Anorexia nervosa and Raynaud's phenomenon: A case report. International Journal of Eating Disorders, 2007;40(8):762-765).

For additional information, contact B. Yucel, Istanbul University, Istanbul Tip Fak, Psikiyatri AD, TR-34390 Istanbul, Turkey.

Publisher contact information for the International Journal of Eating Disorders is: John Wiley & Sons Inc., 111 River St., Hoboken, NJ 07030, USA.

Keywords: Turkey, Istanbul, Adolescent Medicine, Anorexia, Anorexia Nervosa, Behavior, Biotechnology, Eating Disorders, Endocrinology, Estrogen, Hormone Replacement Therapy, Hormones, Immunology, Raynaud Phenomenon, Rehabilitation Research, Rheumatology, Transdermal, Treatment, Istanbul University.

This article was prepared by Immunotherapy Weekly editors from staff and other reports. Copyright 2008, Immunotherapy Weekly via NewsRx.com.