3-year course after successful therapy of extreme anorexia nervosa

Anorexia nervosa is acommon psychiatric disorder in adolescents and young adults and is often associated with high rates of comorbidities and achronic course of the disease. Additionally, it still shows the highest rates of mortality among all psychiatric disorders. The case presented describes a female patient with severe and enduring anorexia nervosa who achieved remission after strict adherence to inpatient treatment and showed a full recovery in the 3-year follow-up. Shortly after achieving aminimum weight of 25kg (171cm, body mass index 8.5kg/m(2)) the 21-year-old, chronically ill patient was admitted to an intensive care unit. After aphase of stabilization and achieving aBMI of 10kg/m(2), she was transferred to ahospital specialized in treating eating disorders. It came to afull recovery of the patient including full weight restoration during regular follow-ups (BMI 20.0kg/m(2)) and normalization of the psychopathology of the eating disorder. In a3-year follow-up, the patient presented with an enduring and complete remission of all symptoms, which were extremely expressed during the illness.