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Managing anorexia nervosa
  1. Dasha Nicholls1,
  2. Lee Hudson2,
  3. Fermeda Mahomed1
  1. 1Department of Child and Adolescent Mental Health, Great Ormond Street Hospital, London, UK
  2. 2Department of General Paediatrics and Adolescent Medicine, University College Hospitals, London, UK
  1. Correspondence to Dr Dasha Nicholls, Feeding and Eating Disorders Service, Department of Child and Adolescent Mental Health, Great Ormond Street Hospital, Great Ormond Street, London WC1N 3JH, UK; d.nicholls{at}


Clinical confidence and coordinated multidisciplinary care can influence the course of anorexia nervosa in children and adolescents. Sicker and younger patients with anorexia nervosa often present first to a paediatrician, requiring early recognition and appropriate management. Paediatric knowledge and skills are also needed to manage the impact of eating disorders on growth and development. This review provides practical guidance on the management of anorexia nervosa for paediatricians, in the areas of assessment, acute management and re-feeding, and long-term monitoring. In the absence of a strong evidence base for some of these recommendations, local protocols based on best practice guidelines can reduce anxiety, increase cooperation and reduce risk.

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  • Competing interests None

  • Provenance and peer review Commissioned; externally peer reviewed.