UNASSIGNED: A female child aged 10 years and 2 months presented with ARFID associated with depression, anxiety and nutritional deficiency following tonsillectomy. She had more difficulty in swallowing solids than fluids and had repeated vomiting and spitting food after chewing it. She became dehydrated and malnourished with a BMI of 10.5 and was misdiagnosed with myasthenic gravis.
UNASSIGNED: To our knowledge, this is the first case report of ARFID in a child post-tonsillectomy. We discuss the pathophysiology of ARFID, which remains elusive, and recommend psychiatric assessment when evaluating children post operative tonsillectomy.
■一名10岁零2个月的女性儿童出现与抑郁症相关的ARFID,扁桃体切除术后的焦虑和营养缺乏。她吞下固体比吞下液体更困难,咀嚼食物后反复呕吐和吐痰。她脱水和营养不良,BMI为10.5,并被误诊为重症肌无力。
■据我们所知,这是儿童扁桃体切除术后ARFID的首例报告.我们讨论了ARFID的病理生理学,仍然难以捉摸,并建议在评估儿童扁桃体切除术后进行精神病学评估。