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Review

Medical complications of bulimia nervosa

Allison Nitsch, MD, Heather Dlugosz, MD, Dennis Gibson, MD and Philip S. Mehler, MD, FACP, FAED
Cleveland Clinic Journal of Medicine June 2021, 88 (6) 333-343; DOI: https://doi.org/10.3949/ccjm.88a.20168
Allison Nitsch
ACUTE Center for Eating Disorders at Denver Health, Denver, CO; Department of Medicine, University of Colorado School of Medicine, Aurora, CO
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Heather Dlugosz
Eating Recovery Center and Pathlight Mood & Anxiety Center, Cincinnati, OH
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Dennis Gibson
ACUTE Center for Eating Disorders at Denver Health, Denver, CO; Department of Medicine, University of Colorado School of Medicine, Aurora, CO
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Philip S. Mehler
ACUTE Center for Eating Disorders at Denver Health, Denver, CO; Department of Medicine, University of Colorado School of Medicine, Aurora, CO
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  • For correspondence: pmehler@dhha.org
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    The Russell sign.

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    Sialadenosis.

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    TABLE 1

    Summary of electrolyte disturbances in bulimia nervosa

    BehaviorPotassiumSodiumAcid-base
    Self-induced vomitingLowLow or normalMetabolic alkalosis
    Laxative abuseLowLow or normalMetabolic alkalosis or non-anion gap acidosis
    Diuretic abuseLowLow or normalMetabolic alkalosis
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    TABLE 2

    Psychopharmacology clinical pearls

    Fluoxetine is the only US Food and Drug Administration-approved medication for the treatment of bulimia nervosa
    Co-occurring anxiety and depression should be managed with therapy and pharmacologically
    Stimulant medications have not been evaluated in the treatment of bulimia nervosa
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Cleveland Clinic Journal of Medicine: 88 (6)
Cleveland Clinic Journal of Medicine
Vol. 88, Issue 6
1 Jun 2021
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Medical complications of bulimia nervosa
Allison Nitsch, Heather Dlugosz, Dennis Gibson, Philip S. Mehler
Cleveland Clinic Journal of Medicine Jun 2021, 88 (6) 333-343; DOI: 10.3949/ccjm.88a.20168

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Medical complications of bulimia nervosa
Allison Nitsch, Heather Dlugosz, Dennis Gibson, Philip S. Mehler
Cleveland Clinic Journal of Medicine Jun 2021, 88 (6) 333-343; DOI: 10.3949/ccjm.88a.20168
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  • Article
    • ABSTRACT
    • A SERIOUS MENTAL ILLNESS WITH PHYSICAL CONSEQUENCES
    • ONSET IN ADOLESCENCE, AND FAIRLY COMMON
    • MEDICAL COMPLICATIONS
    • METABOLIC AND ELECTROLYTE DISTURBANCES
    • PSEUDO-BARTTER SYNDROME
    • EVALUATION AND MANAGEMENT OF ELECTROLYTE DISTURBANCES AND PSEUDO-BARTTER SYNDROME
    • MEDICAL COMPLICATIONS OF BINGE-EATING
    • IDENTIFICATION AND MENTAL HEALTH TREATMENT
    • PROGNOSIS
    • CONCLUSION
    • INITIAL CASE CONTINUED
    • DISCLOSURES
    • Acknowledgments
    • REFERENCES
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