Seven of 10 patients with anorexia nervosa had ultrasonic and/or biochemical abnormalities of the pancreas. Seven patients had elevated amylase creatinine clearance ratios (>4%), three patients had elevated serum amylase values (>90 units/liter), and three patients had reduced echogenicity of the pancreas. There was no consistent association between presenting abdominal symptoms and abnormal ultrasonic and biochemical studies of the pancreas. After nutritional repletion, all studies reverted to normal. An eleventh patient, who was initially diagnosed as having anorexia nervosa but later found to have an astrocytoma of the medulla, had reduced echogenicity of the pancreas, suggesting malnutrition as the cause of these abnormal pancreatic studies. Pancreatic abnormalities due to protein-calorie malnutrition may be common in anorexia nervosa and must be differentiated from primary pancreatitis.

No AccessJournal of UrologyClinicopathological Conference1 Oct 1978Renal Mass in an Infant Stephen R. Shapiro, Raymond D. Adelman, Daniel Link, Henry Tesluk, and Harry Phillips Stephen R. ShapiroStephen R. Shapiro Chief, Pediatric Urology, University of California, Davis School of Medicine. More articles by this author , Raymond D. AdelmanRaymond D. Adelman Pediatric Nephrologist, University of California, Davis School of Medicine. More articles by this author , Daniel LinkDaniel Link Assistant Professor, Department of Radiology, University of California, Davis School of Medicine. More articles by this author , Henry TeslukHenry Tesluk Associate Professor, Department of Pathology, University of California, Davis School of Medicine. More articles by this author , and Harry PhillipsHarry Phillips Assistant Professor, Department of Radiology, University of California, Davis School of Medicine. More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)57239-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1978 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByYazaki T, Ishikawa S, Ogawa Y, Takahashi S, Nemoto S, Rinsho K, Kanoh S and Kitagawa R (2018) Xanthogranulomatous Pyelonephritis in Childhood: Case Report and Review of English and Japanese LiteratureJournal of Urology, VOL. 127, NO. 1, (80-83), Online publication date: 1-Jan-1982.Bartholomew T, Slovis T, Lawrence Kroovand R and Corbett D (2018) The Sonographic Evaluation and Management of Simple Renal Cysts in ChildrenJournal of Urology, VOL. 123, NO. 5, (732-736), Online publication date: 1-May-1980. Volume 120Issue 4October 1978Page: 485-489 Advertisement Copyright & Permissions© 1978 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Stephen R. Shapiro Chief, Pediatric Urology, University of California, Davis School of Medicine. More articles by this author Raymond D. Adelman Pediatric Nephrologist, University of California, Davis School of Medicine. More articles by this author Daniel Link Assistant Professor, Department of Radiology, University of California, Davis School of Medicine. More articles by this author Henry Tesluk Associate Professor, Department of Pathology, University of California, Davis School of Medicine. More articles by this author Harry Phillips Assistant Professor, Department of Radiology, University of California, Davis School of Medicine. More articles by this author Expand All Advertisement Loading ...