Klin Farmakol Farm. 2011;25(3):150-152

Eating disorder in young man with hypertension and compensation of hypertension a case report

Ivana Kacířová, Milan Grundmann

Ústav klinické farmakologie, Lékařská fakulta Ostravské univerzity a Fakultní nemocnice Ostrava

Introduction: Our case report shows a young obese man with hypertension and eating disorder on the strength of hypolipidemic diet.

Drastic loss of weight was followed by necessity of discontinuation of antihypertensive therapy and improvement of blood lipids.

Method: The patient was observed in our out-patient practice and his blood pressure was measured in lying, sitting and standing position.

Clinical examinations were performed to clarify a reason of loss of weight and the blood levels of lipids were analyzed.

Results: During 26 months the weight decreased about 51 kg, waistline about 45 cm and BMI from 32 to 17. Blood pressure was decreased

about 40/22 mmHg in despite of discontinuation of antihypertensive therapy. Total cholesterol decreased from 6.00 to 4.30 mmol/l,

LDL-cholesterol from 3.35 to 2.07 mmol/l and triglycerides from 3.34 to 1.22mmol/l, HDL-cholesterol increased from 1.11 to 1.39 mmol/l.

Clinical examinations were performed with negative results and the patient refused psychiatric examination.

Conclusion: Our case report shows the young obese man with well controlled hypertension in 3-combination treatment and with

improvement of blood lipids and necessity of discontinuation of antihypertensive therapy due to drastically loss of weight. Clinical examinations

were performed with negative results and eating disorder is suggested as the possible cause of weight loss. The case report

demonstrate the effect of non-pharmacological treatment to correction of both blood pressure and blood lipids.

Keywords: hypertension, obesity, eating disorder, antihypertensive therapy

Published: December 1, 2011  Show citation