The study aimed to find out the influences of attitudes and behaviors of mothers to anorexic children by interviewing. Interview of 132 mothers has shown that: 60% mothers had correct behaviors, which should be encouraged. However, beside the positive facets, there were over 30% mothers were incorrect. The negative facets caused children more serious anorexic. The incorrect behaviors of the mothers who had educational levels were no significantly different.
anorexia ; child ; mothers

132 children (72 boys and 60 girls from 3 to 48 month old age) with chronic anorexia (at least 1/2 month long) were studied descriptively, comparatively and prospectively at the Centre of Children's Nutrition in HCM city from Oct. 1997 to Aug. 1998. Clinical state, health and nutritional history, paraclinical examinations (serum Zinc level by mass-spectrograph differential pulse polarography with stripping, hematology…) were noted. Results have shown that the deficiency of Zn is the main cause of anorexia, especially in malnourished children. There is statistically no significant relation between anemia and Zn deficiency, but the severity of anorexia depends on the decrease of serum zinc level.
anorexia ; child ; anemia ; zinc

Anorexia nervosa is characterized by distortion of body image and profound weight loss due to self starvation. So, the patients are easily diagnosed with history and interview. We experienced a patient who had suffered for prolonged vomiting and profound weight loss without definite distorted body image, but had accompanied by autonomic dysfunction. Thus, we report a case with a brief review of literatures.
Anorexia Nervosa* ; Anorexia* ; Body Image ; Humans ; Starvation ; Vomiting ; Weight Loss

At Hue Central Hospital, Transmitted disease department, 41 viral hepatitis with anorexia, flatulence and dyspepsia were divided into 2 groups: the control group using fortex, polyvitamin and the intervened group using pantyrase in addition. The study showed that acute hepatitis occurred more in male than in female patients, the most age at 16-45 years old (61%). The group using pantyrase got improvement on the symptoms of flatulence, dyspepsia, promoted the digestion and the appetition. The anorexia interrupted after 7.18  1.91 days in pantyrase group and 16.84  4.91 days in the control group
Anorexia ; Flatulence ; Hepatitis, Viral, Human

To evaluate the effects of zinc on chronic anorexic children, we have divided 132 chronic anorexic children aged 3-48 months old into two groups. The test group was supplemented with iron, vitamins and 10mg of elemental zinc daily orally while the control group was supplemented with iron, vitamins. The results have shown that appetite, energy intakes and growth rate in the test group were improved better than those in the control group (P<0.001; P<0.001; P<0.001 and P<0.025). Initial serum zinc concentration of the chronic anorexic children in the test group is concerned obviously with rehabilitations of energy intakes (P<0.002). Weight and height velocities of the anorexic children with low zinc concentration in test group were lower than those of the anorexic the test group (P<0.005; P<0.005). Zinc supplementation has clearly affected to treat chronic anorexia in children.
Complementary Therapies ; anorexia ; child ; zinc

Anorexia nervosa is a kind of dietary disorder which causes amenorhea, weight loss, behavioral changes, and its hormonal status is typical hypogonadotrophic hypogonadism. The patients with anorexia nervosa showed many hormonal and chemical abonormal findings, like decresed follicular stimulating hormone, decreased lutealizing hormone and estrogen, increased cortisol, hypokalemia, hypercarotenemia. But tissue mineral contents of anorexia nervosa were not reported. We experience the typical increase of tissue copper contents in three anorexia nervosa patients in recent days, so report them with reviews of literatures.
Anorexia ; Anorexia Nervosa ; Copper ; Estrogens ; Hair ; Humans ; Hydrocortisone ; Hypogonadism ; Hypokalemia ; Weight Loss

The treatment consensus of anorexia nervosa in the last century was to remove the patient from her family and home surroundings. A great range of treatment from prescribing hormonal extracts to prefrontal leucotomy has been tried. Although in former decades many quite different forms of treatment have been described and advocated for anorexia nervosa, there is today consensus concerning the overall management of the disorder. But there still remains a widespread clinical opinion that inpatient treatment is necessary for some as a means of reliably increasing weight. Over the last hundred years the management of anorexia nervosa has changed. Treatment has shifted from medical wards, through to psychiatric wards and now, following the trends in all of medicine, towards community care in Western society. In Korea, case reports of anorexia nervosa and related articles have been published since the late seventies. Recently several epidemiological studies and clinical reports suggested increasing rate of eating disorders including anorexia nervosa in Korea. However, systematic approaches for these patients have not been tried in Korea. The author introduces the treatment model for inpatients with anorexia nervosa of Johns Hopkin's Hospital, Maudsley Hospital, and St. John's Mercy Medical Center. The author also introduces treatment experience with anorexic inpatient at Seoul Paik Hospital.
Anorexia Nervosa* ; Anorexia* ; Consensus ; Diethylpropion ; Feeding and Eating Disorders ; Humans ; Inpatients* ; Korea ; Psychosurgery ; Seoul

In young adolescent girls, anorexia nervosa is a significant cause of weight loss, and hospital admissions among children and adolescents. Anorexia nervosa is a life-threatening disorder, with about one-third of deaths caused by cardiac complications. A high rate of pericardial effusion has been recently reported in patients with anorexia nervosa, although relatively few cases require pericardiocentesis. Here, we describe three patients with anorexia nervosa who were diagnosed with large pericardial effusions. To prevent cardiac tamponade, pericardiocentesis was performed in two girls.
Adolescent ; Anorexia ; Anorexia Nervosa ; Cardiac Tamponade ; Child ; Humans ; Pericardial Effusion ; Pericardiocentesis ; Weight Loss

Spontaneous pneumomediastinum (PM) is an uncommon condition in which free air enters the mediastinum. This usually occurs either through esophageal tears after vigorous vomiting, or after alveolar rupture subsequent to a rapid increase in intra-alveolar pressure. Spontaneous PM is a rare entity in anorexia nervosa (AN) and self-induced vomiting is often the cause of PM in patients with AN. We experienced a case of spontaneous PM in an anorexic adolescent, in whom vomiting was not the cause of PM.
Adolescent ; Anorexia Nervosa* ; Anorexia* ; Diethylpropion ; Humans ; Mediastinal Emphysema* ; Mediastinum ; Rupture ; Subcutaneous Emphysema ; Tears ; Vomiting

Gelatinous transformation of the bone marrow is rarely found and characterized by accumulation of hyaluronic acid, fat atrophy and associated with bone marrow hypoplasia. This process has been reported to occur in severely malnourished patients. We report an anorexia nervosa patient showing pancytopenia and hypoplastic bone marrow associated with gelatinous transformation. Pathogenesis of this lesion remains unclear.
Anorexia Nervosa* ; Anorexia* ; Atrophy ; Bone Marrow* ; Gelatin* ; Humans ; Hyaluronic Acid ; Pancytopenia