In the period we have established syndrome ...

In the period we have established syndrome of anorexia nervosa, underweight in severe cachexia may reach 30-50% or more of initial body weight before the disease [12]. However, eating disorders and eating disorders can occur not only in patients with anorexia nervosa and bulimia. Examination of patients with bipolar disorder found that 9,5% of the disease was accompanied by eating disorders [13]. Loss of appetite and weight loss is so often accompanies depression, which is considered one of the obligate her symptoms and are included as criteria for the diagnosis of depression in all known surveys. But abnormal enhancement of appetite (up to bulimia) may also accompany depression, although this happens rarely. In such cases, there is the so-called "the emotional eating behavior" - patients eat in order to improve a bad mood, get rid of depression, apathy, etc. [14]. A survey of patients with schizophrenia and depressive syndromes of different etiologies, conducted by domestic physicians in the hospital, found the vast majority of these patients, significant violations in the dietary form of rejection or a sharp restriction in food intake, changes in the daily diet, pathological selectivity in choosing products and dishes [15] . Authors noted a 89% reduction in body weight (for 9-14 kg from baseline), a sharp decrease in skin turgor (33%), decreased rate of thickness of subcutaneous fat (85%). In connection with the serious problem of alcoholism in our country [16,17] are very relevant questions and his therapy. Adequate treatment of this disease are inextricably linked to issues of specific diet, since alcoholism is, in most cases accompanied by polyhypovitaminosis and severely impaired digestive system [18,19]. If before specific deficit in alcoholism was considered a vitamin B1 [20], in recent years in a population of alcoholics is increasing rapidly and the proportion of individuals with deficiency of nicotinic acid (vitamin PP), causing the emergence of a large number of severe forms of alcoholic pellagra. There were also evidence that ethanol, causing the body to vitamin A deficiency, while at the same time is a serious obstacle to its attempts to compensate, giving the hepatotoxic effect as an additional input of retinol, and its predecessor (beta-carotene) as a result of competitive interactions in the cytochrome P-450 [21]. Over the years, despite the development of psychopharmacology, is not reduced role threpsology and in emergency psychiatry. It should be noted that the proportion of disease that previously required long-term artificial enteral nutrition (months stretching state with catatonic stupor, delirium and depression due to refusal of food) have become much rarer. However, in the structure of the overall flow of patients entering a psychiatric hospital, has increased the number of seriously ill patients with pathology psihoreanimatologicheskogo profile [22-24]. These are cases of acute endo-and exogenous psychoses, where the psychopathological syndrome (catatonia syndromes dizziness, acute hallucinatory-delusional state) preclude reception of sick food, and the inherent features of these diseases giperkatabolicheskie metabolism very quickly lead to exhaustion and contribute to death [25 , 26].