• Milena Tomašević Institute for Student Health Care Belgrade, Belgrade, Serbia
  • Miodrag Stojanović Institute for Student Health Care Belgrade, Belgrade, Serbia
  • Vesna Veković Clinical Hospital Center "Dr Dragiša Mišović", Children's Hospital for Lung Diseases and Tuberculosis, Belgrade, Serbia
  • Aleksandar Tomašević Institute of Oncology and Radiology of Serbia, Clinic for Radiotherapy, Belgrade, Serbia, University of Belgrade, Faculty of Medicine, Belgrade, Serbia


anorexia, amenorrhea, adolescence


Introduction: Anorexia nervosa is an eating disorder that manifests itself when a person refuses to eat an adequate amount of food or is unable to maintain a minimum body weight and a corresponding Body Mass Index (BMI). Anorexia is a mental disorder that is extremely serious because in 6-20% of cases it can be fatal.

Methodology: A female 23-year-old patient, with no previous medical history was examined in the Service for Students Health due to symptoms of fatigue and tiredness. Her physical finding was normal, and BMI was 19 at that stage. Due to lack of menstrual cycle the gynecologist was consulted and diagnoses polycistic ovaries was made. Further decline of BMI to 17.2 was detected.

Six months later, the patient had a BMI of 15.8, spontaneous tooth loss, and an irregular menstrual cycle despite hormone therapy. The patient was examined by hematologist, endocrinologist, gastroenterologist, nephrologists and infectologist. She continually gave the impression that she was interested in her health status, and she denied any diet problems.

Anorexia was suspected at the next check up when her BMI was 13 (TV 159cm, TM 33kg)..She was hospitalized at Psychiatry Unit with a value of BMI 11.5 (TM 29 kg). Antidepressant therapy and parenteral nutrition were administered.After 5 months of treatment, she gained her weight; TM was 42kg, with a BMI of 16.6.

Conclusion: Prevention of anorexia must be carried out before the onset of the disease. Education in schools about eating habits should be the first step in forming healthy lifestyles.


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Case Reports