Article Abstract:
The case of a 35-year-old Ghanaian women with a rare combination of anorexia nervosa, deafness and visual impairment is examined. She was diagnosed with anorexia nervosa at age 16 and with Usher's syndrome, which is an autosomal recessive condition causing congenital deafness and retinitis pigmentosa, at the age of 21. It was concluded that her isolation from both the deaf and the hearing worlds and her inability to communicate the conflicts in her life through speech compelled her to try to gain control over her emotions by restricting her food intake. Management issues related to her case are discussed.
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Article Abstract:
An HIV-positive diagnosis promoted recovery from eating disorders in a 21-year-old female. The literature has focused more on negative associations in the comorbid patient group so this may be the first reporting of HIV-1 seropositivity proving influential in clinical improvement in bulimia nervosa. The diagnosis initially provoked a worsening in bulimic behavior, as well as illegal drug use and disorganised sexual behaviour, but the woman then began to rate her physical health as important. She sought, and responded well, to hospital therapies for the eating disorder.
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Article Abstract:
A case of anorexia nervosa following oral prednisolone withdrawal from use in bronchial asthma treatment is examined. From the rarity of such cases it can be inferred that the involvement of pharmacological factors is very complex. Anorexia in this case may have developed either as a defense mechanism against depression caused by drug withdrawal or as an excessive response in a predisposed individual against weight gain.
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