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Anorexia nervosa in an elderly man

B C Riemann¹, R J McNally, A Meier

¹Center for the Study and Treatment of Anxiety Disorders, Oconomowoc, WI 53066.

The International Journal of Eating Disorders

|December 1, 1993

Summary

This case study presents a rare instance of late-onset anorexia nervosa (AN) in a 72-year-old male. It highlights the potential for AN to manifest in older adults, challenging typical demographic assumptions.

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Area of Science:

Geriatric medicine
Psychiatry
Eating disorders

Background:

Anorexia nervosa (AN) is typically diagnosed in adolescents and young adults.
Male gender and older age are considered risk factors for late-onset AN.

Observation:

A 72-year-old male presented with a 20-year history of anorexia nervosa.
He exhibited extreme low body weight (93 lb), persistent fear of obesity, and body image distortion.
Symptoms included self-induced vomiting, laxative abuse, and excessive exercise.

Findings:

The patient's presentation and questionnaire scores were consistent with a diagnosis of AN.
This case represents a rare occurrence of chronic AN in an elderly male.

Implications:

This case underscores the importance of considering AN in older adults, regardless of gender.
It suggests that diagnostic criteria and clinical awareness for AN should extend beyond typical demographic profiles.
Further research into late-onset and male AN is warranted.

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