{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T05:26:37Z","timestamp":1697606797026},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2002,12,6]],"date-time":"2002-12-06T00:00:00Z","timestamp":1039132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Pneumomediastinum is a rare complication of anorexia nervosa. Although the mechanism is unknown, severe malnutrition may affect lung mechanics by altering the connective tissue, predisposing to pneumomediastinum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We describe a young male with anorexia nervosa and panic disorder who presented with symptoms similar to those of a panic attack and was diagnosed with spontaneous pneumomediastinum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This case illustrates the importance of considering pneumomediastinum in the differential diagnosis of panic attack in patients with eating disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Although spontaneous pneumomediastinum has a generally benign course, it must be differentiated from the potentially life\u2010threatening secondary pneumomediastinum due to an esophageal tear. \u00a9 2002 by Wiley Periodicals, Inc. 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