饮食失调诊断的陷阱：从婴儿期到青春期的一系列病例。

IF 2.8 3区医学 Q2 PSYCHIATRY

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Pub Date : 2025-08-28 DOI:10.1007/s40519-025-01781-w

Adele Fiordelisi, Micol Stivala, Roberta Pellegrino, Elisabetta Innocenti, Sandra Trapani

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引用次数: 0

摘要

目的：饮食失调，包括一系列的条件，显著影响个人的整个生命周期，特别是儿童和青少年。由于其发病率上升，误诊仍然是儿科的一个挑战。方法：本研究提出了一个教育案例系列，记录了最初被误诊为喂养和饮食失调的器质性疾病。结果：通过全面的评估，包括病史、体格检查和专门的评估，我们强调排除在表现时可能模仿饮食失调的医疗条件的重要性。及时识别和转诊到专门护理是改善结果的必要条件。结论：我们强调持续重新评估的关键作用，特别是在症状发展或对治疗反应不足的情况下。诊断和管理儿科喂养和饮食失调的多学科方法对于确保及时发现和充分转诊至关重要。证据等级iv：

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Pitfalls in the diagnosis of eating disorders: a case series from infancy to adolescence.

Purpose: Eating disorders, encompassing a spectrum of conditions, significantly affect individuals throughout their lifespan, especially children and adolescents. Because of their rising incidence, misdiagnosis remains a challenge in paediatrics.

Methods: This study presents an educational case series documenting organic disorders that were initially misdiagnosed as feeding and eating disorders.

Results: Through comprehensive assessments, including medical history, physical examinations, and specialized evaluations, we stress the importance of ruling out medical conditions that can mimic an eating disorder at presentation. Timely recognition and referral to specialized care are essential for improved outcomes.

Conclusion: We highlight the crucial role of continuous reassessment, particularly in cases of evolving symptoms or inadequate response to treatments. A multidisciplinary approach in diagnosing and managing paediatric feeding and eating disorders is of fundamental importance to ensure prompt identification and adequate referral.

Level of evidence iv:

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来源期刊

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 医学-精神病学

CiteScore

6.50

自引率

10.30%

发文量

170

审稿时长

>12 weeks

期刊介绍： Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.