{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T05:14:01Z","timestamp":1737695641873,"version":"3.33.0"},"reference-count":22,"publisher":"Hogrefe Publishing Group","issue":"6","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p> Zusammenfassung: Zielsetzung: Die prim\u00e4re Nebennierenrindeninsuffizienz (Morbus Addison) stellt eine seltene Differenzialdiagnose der Anorexia nervosa dar. Der hier vorgestellte Case Report verfolgt die Zielsetzung, wichtige differenzialdiagnostische Aspekte darzulegen. Methoden: Ein Case Report \u00fcber eine 14-j\u00e4hrige Patientin wurde gem\u00e4\u00df der CARE-Guidelines erarbeitet. Patientinnensicht sowie Sicht der Kindseltern wurden ber\u00fccksichtigt. Ergebnisse: Durch eine gezielte Labordiagnostik konnte die Diagnose einer prim\u00e4ren Nebennierenrindeninsuffizienz ca. 9 Monate nach Beginn der Symptomatik mit pl\u00f6tzlichem Gewichtsverlust gestellt werden. Hilfreiche differenzialdiagnostische Aspekte waren das Nichtvorhandensein einer K\u00f6rperschemast\u00f6rung bei der Patientin sowie dermale Hyperpigmentierungen, die in der k\u00f6rperlichen Untersuchung auffielen. Es bestand eine hohe psychosoziale Belastung durch die unklare Diagnosestellung \u00fcber 9 Monate. Diagnosestellung und sofortige Substitutionstherapie mit Hydrocortison konnten eine rapide Besserung der k\u00f6rperlichen und psychischen Symptome bewirken. Schlussfolgerung: Die Kasuistik unterstreicht die Bedeutung einer gr\u00fcndlichen somatischen Differenzialdiagnostik im Rahmen der Abkl\u00e4rung eines Verdachts auf Anorexia nervosa. <\/jats:p>","DOI":"10.1024\/1422-4917\/a000964","type":"journal-article","created":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T08:19:10Z","timestamp":1705306750000},"page":"354-360","source":"Crossref","is-referenced-by-count":0,"title":["Kasuistik einer fr\u00fch im Lebensverlauf an Morbus Addison                     erkrankten 14 Jahre alten Patientin bei Verdachtsdiagnose einer Anorexia                     nervosa"],"prefix":"10.1024","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4560-7039","authenticated-orcid":true,"given":"Linda M.","family":"Bonnekoh","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Kinder- und                     Jugendpsychiatrie, -psychosomatik und-psychotherapie, Universit\u00e4tsklinikum                     M\u00fcnster, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Fellmeth","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und                     Jugendpsychiatrie, -psychosomatik und-psychotherapie, Universit\u00e4tsklinikum                     M\u00fcnster, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"D\u00fcbbers","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin,                     Allgemeine P\u00e4diatrie, Universit\u00e4tsklinikum M\u00fcnster,                     Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Oesingmann-Weirich","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin,                     Allgemeine P\u00e4diatrie, Universit\u00e4tsklinikum M\u00fcnster,                     Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Fernholz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und                     Jugendpsychiatrie, -psychosomatik und-psychotherapie, Universit\u00e4tsklinikum                     M\u00fcnster, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0282-6765","authenticated-orcid":true,"given":"Heymut","family":"Omran","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin,                     Allgemeine P\u00e4diatrie, Universit\u00e4tsklinikum M\u00fcnster,                     Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4984-7822","authenticated-orcid":true,"given":"Georg","family":"Romer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und                     Jugendpsychiatrie, -psychosomatik und-psychotherapie, Universit\u00e4tsklinikum                     M\u00fcnster, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"volume-title":"On the constitutional and local effects of disease of the supra-renal capsules","year":"1855","author":"Addison T.","key":"c1"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1210\/edrv.23.3.0466"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e3181db6b7a"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1055\/a-1370-5874"},{"key":"c5","volume-title":"Taschenf\u00fchrer zur ICD-10-Klassifikation psychischer St\u00f6rungen. 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S3-Leitlinie Diagnostik und Behandlung der                             Essst\u00f6rungen (2. Aufl                         AWMF-Registernummer: 051\/026). 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