Recently, the number of girls with anorexia nervosa caused by blind weight loss and excessive dieting in Shanghai has gradually increased. The data of the Municipal Children's Mental Health Center also shows that the incidence of the disease has tripled compared with the same period last year.
Its main clinical manifestations are: at first, there was the psychology and behavior of deliberately dieting for fear of obesity, and then there was uncontrolled eating and rapid weight loss. The emaciated elephant cachexia still refuses to increase its food intake, and even feels too fat when it is infinitely thin and fatal. Refuse to keep the weight at the lowest level corresponding to their age and height, so that some patients are skinny and unable to get out of bed, some people starve to death, some use exercise, vomiting, venting and other means to lose weight, sometimes overeating, vomiting after meals, and lose more than 25% weight. Due to hypoglycemia, nausea, dizziness, fatigue and sometimes syncope often occur. Extreme malnutrition such as dry skin, pale skin, poor elasticity, thin subcutaneous fat and skin edema caused by hypoproteinemia. Accompanied by severe endocrine dysfunction, female amenorrhea, male libido loss or impotence. If it happens before puberty, puberty development slows down or even stagnates, breast dysplasia, male secondary sexual characteristics are undeveloped, and genitals are childish. This kind of patients often have emotional instability, anxiety, insomnia, obsessive-compulsive ideas, and some will also lead to secondary depression and morbid psychology. In severe cases, they may have suicidal thoughts and behaviors. It should not be ignored that many girls generally lack knowledge of anorexia nervosa, and girls who blindly pursue slimming and deliberately diet suffer from anorexia nervosa and dystrophic muscular atrophy to varying degrees.