{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:38:26Z","timestamp":1760042306971},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2005,10,6]],"date-time":"2005-10-06T00:00:00Z","timestamp":1128556800000},"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":[[2005,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We describe the case of a 20\u2010year\u2010old female patient suffering from anorexia nervosa since the age 15 of years. When admitted, she was 168 cm tall with a weight of 35 kg (body mass index [BMI] = 12.4). A week after admission, the patient complained of retrosternal pain, and a few hours later she developed extensive soft\u2010tissue emphysema.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The X\u2010ray picture of her thorax showed left\u2010hand supraclavicular and infraclavicular emphysema, extensive emphysema in both sides of the soft tissue of the throat, a left\u2010hand apical pneumothorax (4 mm), and a pneumomediastinum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We discuss the extent to which these symptoms are interrelated in the sense of a causal nexus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We ruled out any other differential\u2010diagnostic etiopathogenic factors and concluded that the cause of our patient's soft\u2010tissue emphysema, pneumothorax, and pneumomediastinum might well be autodestructive behavior. \u00a9 2005 by Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.20172","type":"journal-article","created":{"date-parts":[[2005,10,7]],"date-time":"2005-10-07T02:16:24Z","timestamp":1128651384000},"page":"281-284","source":"Crossref","is-referenced-by-count":8,"title":["Advanced anorexia nervosa, associated with pneumomediastinum, pneumothorax, and soft\u2010tissue emphysema without Esophageal lesion"],"prefix":"10.1002","volume":"38","author":[{"given":"Gerhard","family":"Danzer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Mulzer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerrit","family":"Weber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Lembke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00fcya","family":"Kocalevent","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burghard F.","family":"Klapp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,10,6]]},"reference":[{"issue":"9","key":"e_1_2_1_2_1","first-page":"755","article-title":"Severe complications and mortality in mental eating disorders in adolescence. 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