Acute Liver Injury with Severe Coagulopathy in Marasmus Caused by a Somatic Delusional Disorder
Marasmus is a severe form of protein-calorie malnutrition characterized by the depletion of fat stores, muscle wasting, and the lack of edema. In developed countries, marasmus is often the result of anorex...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2011/176894 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Marasmus is a severe
form of protein-calorie malnutrition
characterized by the depletion of fat stores,
muscle wasting, and the lack of edema. In
developed countries, marasmus is often the
result of anorexia nervosa. Abnormal
transaminases with liver synthetic dysfunction
have rarely been reported with anorexia nervosa.
To our knowledge, we report the first detailed
case of acute liver injury with severe
coagulopathy (INR>1.5) in a patient with marasmus due to self-induced
calorie restriction caused by a somatic delusional disorder. This
case highlights the severity of liver injury that may occur with
significant weight loss from self-induced calorie restriction and
the rapid normalization of this injury with treatment. It is
important for clinicians to be aware of patterns of acute liver
injury in patients with severe protein-calorie malnutrition,
regardless of the underlying cause. |
|---|---|
| ISSN: | 2090-6587 2090-6595 |