Highlights the importance for primary care physicians to recognize and manage the potentially life-threatening medical complications of anorexia nervosa.
Urges primary care recognition of anorexia complications; leaves open prospective validation of refeeding protocols.
Anorexia nervosa is often characterized by progressive deterioration in many different organ systems. Most medical complications are the result of starvation and can be reversed with a well-planned refeeding program. While some of the complications of anorexia nervosa are predictable physiologic adaptations to the self-imposed starvation, many others are potentially life threatening. It is therefore incumbent upon all primary care physicians to become familiar with this disorder, because it is increasing in incidence and is commonly burdened by substantial chronicity and recidivism.
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Mehler et al. (1997) studied this question.
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