JPGN Reports · 5 authors, 3 centres
This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.
This case report describes a 14-year-old girl with anorexia nervosa who developed extensive rhabdomyolysis during refeeding, confirmed by clinical, laboratory, and imaging findings including elevated creatine kinase and muscle MRI abnormalities.
The paper presents a case report of a 14-year-old girl with anorexia nervosa admitted to a psychiatric clinic. After one month of treatment, she developed left hip pain while walking. Laboratory tests revealed elevated creatine kinase (3650 UL), hypophosphatemia (1.3 mg/dL), and hypomagnesemia (1.4 mg/dL). Connective tissue disorders were ruled out. Ultrasound and pelvic MRI showed focal myositis and involvement of several left-sided muscles (gluteus maximus, gemellus, internal obturator) with less contralateral involvement. The findings suggested extensive rhabdomyolysis during recovery from anorexia nervosa, a condition known to occur with refeeding syndrome. The authors note that imaging findings for this entity are poorly documented and emphasize the importance of correlating clinical, laboratory, and imaging data to determine the degree of involvement, as delayed diagnosis can lead to detrimental outcomes.
