Eating disorder natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of (disease name) usually develop in the first/ second/ third decade of life, and start with symptoms such as ___.
- The symptoms of (disease name) typically develop ___ years after exposure to ___.
- If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
Complications
- Common complications of Anorexia Nervosa include:
- CARDIOVASCULAR
- bradycardia
- hypotension
- mitral valve prolapse
- peripheral edema
- refeeding syndrome
- DERMATOLOGICAL
- dry skin
- Lanugo hair
- pruritus
- GASTROINTESTINAL
- constipation
- refeeding pancreatitis
- acute gastric dilatation due to refeeding
- ENDOCRINE AND METABOLIC
- amenorrhea
- infertility
- osteoporosis
- hypoglycemia
- hypercortisolemia
- thyroid abnormalities
- impaired temperature regulation
- fluid and electrolyte abnormalities
- HEMATOLOGICAL
- pancytopenia
- Common complications of Bulimia Nervosa include:
- Gastrointestinal
- dental erosion
- parotid gland swelling
- esophageal rupture
- post binge pancreatitis
- constipation
- cathartic colon
- PULMONARY/MEDIASTINAL
- [[Aspiration pneumonitis
- pneumothorax]] or rib fractures
- pneumomediastinum with weight loss
- CARDIAC
- mitral valve prolapse
- palpitations
- hypertension
- arrhythmias
- ENDOCRINE
- hypoglycemia
- mineralocorticoid excess
- METABOLIC
- dehydration
- nephropathy
- electrolyte imbalances
Prognosis
- Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [--]%.
- Depending on the extent of the [tumor/disease progression] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
- The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
- [Subtype of disease/malignancy] is associated with the most favorable prognosis.
- The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.