Evidence map›Paper›PMID 32978756›Full record

ReviewEating and weight disorders : EWD2021

Severe neutropenia in an anorexic adolescent girl: a stigma of underfeeding syndrome?

N Ibrahim, A Barruchet, M R Moro, C Blanchet

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

N IbrahimAPHP, Cochin Hospital, Maison de Solenn, 75014, Paris, France.
A BarruchetAPHP, Cochin Hospital, Maison de Solenn, 75014, Paris, France.
M R MoroAPHP, Cochin Hospital, Maison de Solenn, 75014, Paris, France.
C BlanchetAPHP, Cochin Hospital, Maison de Solenn, 75014, Paris, France. corinne.blanchet@aphp.fr.ORCID http://orcid.org/0000-0003-3135-5210
Hôpital Cochin · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe describe a case of severe, prolonged neutropenia in an adolescent girl hospitalized for anorexia nervosa (AN) which occurred during a refeeding procedure in the absence of refeeding syndrome.

methodsThis case report includes retrospective anamnestic, clinical and biological data from the patient's medical record. A literature review was conducted on the haematological changes described in the undernutrition and refeeding periods, and also on recent data for underfeeding syndrome in patients with anorexia nervosa.

conclusionLeuconeutropenia is an adaptive condition observed in undernutrition in AN, usually rapidly and completely reversible in the course of refeeding and weight gain. We describe a rare case of severe, prolonged neutropenia despite appropriate care in the absence of refeeding syndrome and without gelatinous bone marrow transformation. We suggest that neutropenia in adolescent anorexia nervosa could be a stigma of underfeeding syndrome resulting from an overly cautious refeeding strategy. LEVEL OF EVIDENCE: Level V, descriptive study.

Indexed as

Anorexia NervosaNeutropeniaRefeeding SyndromeAdolescentFemaleHumansRetrospective StudiesWeight GainAdolescentAnorexia nervosaNeutropeniaRefeedingUnderfeeding syndrome

Identifiers

PMID32978756
OpenAlexW3088670710

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.