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dc.contributor.authorKutuk, Meryem Ozlem
dc.contributor.authorGuler, Gulen
dc.contributor.authorTufan, Ali Evren
dc.contributor.authorToros, Fevziye
dc.contributor.authorKaytanli, Umut
dc.date.accessioned2019-06-13T21:41:41Z
dc.date.available2019-06-13T21:41:41Z
dc.date.issued2017
dc.identifier.issn1608-9685
dc.identifier.urihttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2078-67862017000100009
dc.identifier.urihttp://hdl.handle.net/11727/3527
dc.description.abstractObjective: Oesophageal achalasia is a medical condition characterised by oesophageal aperistalsis, an increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter. Bulimia nervosa (BN) is an eating disorder manifested by binge eating attacks followed by recurrent inappropriate compensatory behaviours, such as self-induced vomiting and excessive exercise. Dysphagia, regurgitation, vomiting, retrosternal pain, heartburn, weight loss, avoidance of eating, consumption of large amount of liquids and aberrant eating behaviours are symptoms of both achalasia and BN. Owing to these common signs and symptoms, oesophageal achalasia can be misdiagnosed as an eating disorder. In addition, oesophageal achalasia can occur as a complication of BN. It is often difficult to distinguish organic and psychological vomiting or comorbidity because of overlapping of the symptoms. Case report: We report the case of a patient who developed oesophageal achalasia following severe, repetitive vomiting as a complication of BN. Conclusion: We want to raise awareness regarding the development of a medical illness in the presence of a psychiatric disorder. Importantly, physicians should have a fundamental knowledge of these two diseases regarding their clinical patterns to differentially diagnose one or both disorders as quickly as possible.en_US
dc.language.isoengen_US
dc.relation.isversionof10.4102/sajpsychiatry.v23.996en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEATING-DISORDERSen_US
dc.titleAchalasia as a complication of bulimia nervosa: A case reporten_US
dc.typearticleen_US
dc.relation.journalSOUTH AFRICAN JOURNAL OF PSYCHIATRYen_US
dc.identifier.volume23en_US
dc.identifier.wos000398087000005


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