Abstract
A 28-year-old Caucasian woman with anorexia nervosa was referred to endocrinology clinic for evaluation of osteoporosis and vitamin D deficiency. Two months prior to this visit, she had been hospitalized for hypokalemia, hypomagnesemia, hypophosphatemia, and metabolic alkalosis, which were due to severe vomiting from anorexia nervosa/bulimia. She was also found to have very low bone density and vitamin D deficiency. Her bone mineral density (BMD) was lower than the normal young adult. T-score at spine was less than −2.0 and hip was less than −2.5 which was in osteoporosis range. Her serum 25-hydroxyvitamin D (25(OH)D) was 17 ng/mL. Her parathyroid hormone level (PTH) was 7 pg/mL which was low. She received 50,000 IU of ergocalciferol (vitamin D2) daily for 2 weeks during hospitalization to improve her vitamin D status.
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Chesdachai, S., Tangpricha, V. (2016). Vitamin D Deficiency in Anorexia Nervosa. In: Tangpricha, V. (eds) Vitamin D. Springer, Cham. https://doi.org/10.1007/978-3-319-26176-8_4
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