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[Eating disorders. Prepubertal anorexia nervosa]

E Olivry1, M Corcos

  • 1Institut Mutualiste Montsouris, Paris.

Presse Medicale (Paris, France : 1983)
|February 16, 1999
PubMed
Summary

Prepubertal anorexia nervosa is more common in boys, presenting with rapid weight loss rather than bulimia. Associated symptoms like depression and growth issues indicate a poor prognosis.

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Area of Science:

  • Pediatric Endocrinology
  • Child Psychiatry
  • Eating Disorders

Context:

  • Anorexia nervosa in the prepubertal period is an uncommon condition.
  • This condition presents differently in prepubertal children compared to adolescents.
  • Prepubertal anorexia nervosa occurs more frequently in boys.

Purpose:

  • To describe the characteristics of anorexia nervosa in the prepubertal period.
  • To highlight associated signs and prognostic indicators.
  • To emphasize the importance of personal and familial psychiatric history.

Summary:

  • Prepubertal anorexia nervosa is characterized by rapid, major weight loss, often without significant bulimic features.
  • Associated symptoms include depression, volitional disorders, and growth retardation, which suggest a poor prognosis.
  • Patient history of infant eating disorders and parental psychiatric conditions, particularly narcissistic fragility, are crucial factors.

Impact:

  • This information aids in the early identification and diagnosis of anorexia nervosa in young boys.
  • Understanding associated symptoms and prognostic factors can guide treatment strategies.
  • Highlights the need for comprehensive assessment including family psychiatric history in prepubertal eating disorders.

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