Avoidant-Restrictive Food Intake Disorder in a 68-Year-Old

Blair Burnette, PhD, Adina Bowe, MD, Jessica Luzier, PhD, ABPP, CEDS-S
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Abstract

Avoidant-restrictive food intake disorder (ARFID) is a feeding/eating disorder characterized by malnourishment due to highly restrictive eating patterns. Behaviors may be directly related to lack of interest in food, sensory/textural preferences, or fears of the aversive consequences of eating. The following is a case report of a 68-year-old woman who presented more than 30 times to a family medicine clinic within a 3.5 year time span for chronic nausea, abdominal pain, and weight loss. An extensive medical evaluation was unremarkable. Due to severely low body mass index and non-adherence with nutritional recommendations, the patient was referred to a specialty outpatient clinic that cared for individuals with disordered eating and was diagnosed with ARFID. In order to raise awareness about RFID, the diagnostic criteria and screening/assessment information are provided. Special emphasis is placed on screening and early detection by primary care clinicians to ensure individuals with RFID receive appropriate treatment in a timely manner.
68岁患者的回避-限制性食物摄入障碍
回避-限制性食物摄入障碍(ARFID)是一种进食/饮食障碍,其特征是由于高度限制性的饮食模式导致营养不良。这些行为可能与对食物缺乏兴趣、感官/质地偏好或对进食不良后果的恐惧直接相关。以下是一名68岁妇女的病例报告,她在3.5年的时间里因慢性恶心、腹痛和体重减轻而到家庭医学诊所就诊30多次。广泛的医疗评估没有什么了不起的。由于严重的低体重指数和不遵守营养建议,患者被转介到专门治疗饮食失调患者的门诊诊所,并被诊断为ARFID。为了提高人们对射频识别的认识,本文提供了诊断标准和筛选/评估信息。特别强调的是初级保健临床医生的筛查和早期发现,以确保使用RFID的个人及时得到适当的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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