ID | 111199 |
Author |
Nishimura, Akiyoshi
Tokushima University
Tokushima University Educator and Researcher Directory
KAKEN Search Researchers
Kubo, Shin-ichi
Fukuoka University
|
Keywords | anorexia nervosa
endocrine disturbance
immunohistochemistry
postmortem diagnosis
forensic pathology
|
Content Type |
Journal Article
|
Description | A female in her 30s was found dead after a fire. She was severely emaciated and had been diagnosed with anorexia nervosa (AN) about 5 years ago, but had not been treated recently. Therefore, we investigated not only her cause of death but also her condition of AN. Some of her organs weighed less than normal although no clear lesions were observed. In the pituitary gland, the number of follicle-stimulating hormone-immunopositive cells was markedly decreased although a normal number of thyroid-stimulating hormone-positive cells were detected. A histological examination of the ovary suggested that she had been suffering from amenorrhea. The thyroid gland was atrophic, and marked variations in follicle size were observed. Because we could not obtain enough volume of her blood for endocrinological examinations, we tried to investigate her endocrinological condition by immunohistochemistry. Immunohistochemical staining detected decreased triiodothyronine immunoreactivity and normal thyroxine immunoreactivity. The adrenal glands were also atrophic. Based on these findings, it was considered that she had been suffering from AN at the time of her death. The autopsy and other findings revealed that she had died of burning with carbon monoxide intoxication.
|
Journal Title |
The Journal of Medical Investigation
|
ISSN | 13496867
13431420
|
NCID | AA11166929
AA12022913
|
Publisher | Faculty of Medicine Tokushima University
|
Volume | 63
|
Issue | 3-4
|
Start Page | 305
|
End Page | 309
|
Sort Key | 305
|
Published Date | 2016-08
|
EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
|
TextVersion |
Publisher
|
departments |
Medical Sciences
|