6533b828fe1ef96bd1289064
RESEARCH PRODUCT
Renal involvement in psychological eating disorders
Giuseppe MulèGioacchino Li CavoliU Rotolosubject
MaleNephrologymedicine.medical_specialtyAnorexia NervosaHypokalemiaBioinformaticsRhabdomyolysisAdipokinesBinge-eating disorderInternal medicineAnimalsHumansMedicineObesityBulimiaInflammationDehydrationGlomerulosclerosis Focal Segmentalbusiness.industryBulimia nervosaBulimia Nervosa.Acute kidney injuryGeneral MedicineKidney diseasemedicine.diseaseKidney diseases; Anorexia Nervosa; Bulimia Nervosa.NephrocalcinosisEating disordersEndocrinologyNephrologyAnorexia nervosa (differential diagnoses)CytokinesIntercellular Signaling Peptides and ProteinsFemaleKidney DiseasesNephrocalcinosisbusinessKidney diseasedescription
Psychological eating disorders – anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder – are an increasing public health problem with severe clinical manifestations: hypothermia, hypotension, electrolyte imbalance, endocrine disorders and kidney failure; they are of interest to nephrologists, but pathophysiological mechanisms in determining the renal involvement are still unclear. We describe pathophysiology, histological features and clinical manifestations of the most frequent psychological eating disorders: AN and BN. Regarding AN, we analyze the recent literature, and identify 3 principal pathways towards renal involvement: chronic dehydration-hypokalemia, nephrocalcinosis and chronic rhabdomyolysis. Regarding BN, we describe the correlation between obesity and many proinflammatory cytokines, chemokines, growth factors and adipokines, having potential metabolic and hemodynamic effects on the kidney and an important role in the pathogenesis of obesity-related renal injury, independently of hypertension and diabetes.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2011-11-01 |