Abstract
We present a case of pervasive refusal syndrome (PRS), in which a 11-year-old female patient refused to eat, drink, interact, or self-care in any way. The patient was kept on IV nutrition and multiple therapeutic options were tried to no effect. After 18 months, the patient spontaneously recovered with no lasting harm, and her symptoms did not recur. We further discuss the current state of clinical knowledge on PRS, as well as the form that has appeared amongst children in asylum-seeking families in Sweden.
Highlights
We present a case of pervasive refusal syndrome (PRS), in which a 11-year-old female patient refused to eat, drink, interact, or self-care in any way
An 11-year-old girl was referred to a paediatric hospital with concerns over an 8-week decline in well-being of unknown cause, in which the patient refused to eat or drink and seemed disengaged. This episode began with a 2-week history of non-productive cough that did not improve with over-the-counter medication, prompting her parents to consult their family practitioner
A chest x-ray demonstrated hyperinflated lungs which did not improve after a 3-week course of oral steroids
Summary
We present a case of pervasive refusal syndrome (PRS), in which a 11-year-old female patient refused to eat, drink, interact, or self-care in any way. After 18 months in hospital, the patient had shown no response to any intervention and refused to eat, drink, engage in self-care, or communicate.
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