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Semin Musculoskelet Radiol 2023; 27(04): 457-462
DOI: 10.1055/s-0043-1768452
Review Article

Bone in Anorexia

Anne Miquel 
1   Radiology Department, Saint-Antoine Hospital, Paris, France
,
Valérie Bousson
2   Radiology Department, Lariboisière-Fernand Widal Hospital, Paris, France
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Abstract

Anorexia nervosa is a feeding disorder involving intentional weight loss. Restricted dietary intake leads to disturbed bone metabolism due to various factors, notably endocrine, that affect bone microarchitecture and incur risk of fracture. Mild to moderate anorexia shows a paradoxical increase in bone marrow adipose tissue, whereas severe forms show gelatinous transformation known as serous atrophy of bone marrow (SABM). Imaging assessment of the mineralized and adipose components uses several techniques: dual-energy X-ray absorptiometry, computed tomography, chemical shift magnetic resonance imaging (MRI), and single-voxel MR spectroscopy. SABM induces MRI bone signal disturbances that can be hard to interpret and may hinder visualization of the fracture line.

Keywords

anorexia nervosa - marrow adipose tissue - serous atrophy of bone marrow - osteoporosis - stress fracture


Publikationsverlauf

Artikel online veröffentlicht:
25. September 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
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