Medical complications in male adolescents with XXXX .

@entity1 @entity712 @entity417 @entity1278 @entity591 @entity299
PURPOSE: Medical information on male anorectics is scant. We present data on 10 males with @entity1278 , who were treated at our Eating Disorders Center during a twelve-year period. METHODS: Retrospective chart review. RESULTS: All @entity1 were malnourished weighing 80% or less of their ideal body weight with a mean B.M.I. of 13.5 +/- 2.0. Height below the 50th percentile was evident in 80% of the @entity1 , and was below the 10th percentile in 30% of the @entity1 . Structural brain changes on brain computerized tomography scans were noted in seven out of nine @entity1 and more than 50% had mild @entity417 relative to the Tanner stage. Other findings included a mean presenting heart rate of 68.3 +/- 17: four out of ten @entity1 had presenting heart rates of 80 or greater and of these, three had serious medical problems and were severely malnourished. Two @entity1 had @entity299 and one had a life-threatening electrolyte disturbance. CONCLUSION: Despite the small number of @entity1 , the proportion of male adolescent anorectics with medical abnormalities seems high, and may be due to difficulties in establishing the diagnosis and delay in seeking medical attention. @entity1 who had heart rates of 80 or greater were perhaps sicker and further along in their development of @entity712 , thus explaining their initial relative @entity591 . We suggest a higher index of suspicion for @entity712 and closer medical monitoring when a malnourished adolescent with @entity1278 presents with relatively elevated heart rates.
