[Weight reduction in bulimia nervosa by abuse of thyroid hormones]

We report on a 24-year-old female patient with an 8-year history of bulimia nervosa. Following high-calorie food intake the patient counteracts weight gain by massive abuse of laxatives and L-thyroxine. In addition to the abuse of slimming agents in patients with bulimia nervosa, which was recently reviewed by Krüger and Bräunig [3], abuse of thyroid hormones also has to be considered in these patients.