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Anorexia Nervosa Mimicking Systemic Lupus Erythematosus Case report and Review of the Literature

Zakiya Saleh Al-Mosawi, Mohamed Baqer Altahoo.

Abstract
Eating disorders (ED) are common psychiatric disorders with widespread prevalence especially in females between the ages of 12 and 20 years. ED was classified recently into three categories; anorexia nervosa, bulimia nervosa and binge eating disorder. Medical and psychological disturbances associated with eating disorders can lead to significant morbidity and mortality. We report a case of a 13-year-old girl presenting with signs and symptoms of anorexia nervosa that mimic signs and symptoms of systemic lupus erythematosus (SLE). She has positive Antinuclear Antibody (ANA), Anti ds DNA antibody and low complement. A multi-disciplinary team of psychiatrists, psychologists, nutritionists and cognitive-behavioral therapists managed her condition effectively. Two years after her treatment, she gained significant weight and the clinical signs in addition to the serological findings have cleared. This is the first case of nutrition deprivation symptoms involving immunological features of SLE that disappeared after treating for anorexia nervosa.

Key words: Eating disorders, systemic lupus erythematosus, children



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