Anorexia Nervosa

Authors:
  • JBJames K. Burks
    James K. Burks
  • RWRichard D. Wetzel
    Richard D. Wetzel
  • THThomas Hughes
    Thomas Hughes
  • WPWilliam A. Peck
    William A. Peck
  • LALouis V. Avioli
    Louis V. Avioli
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Abstract
Thomas Hughes, MD, Senior Assistant Resident, Jewish Hospital of St Louis: A 28-year-old white woman was admitted to the Jewish Hospital in January 1978 with a diagnosis of amenorrhea. She had had a normal menarche at the age of 13 years, and normal and regular periods until 1971. At that time she was married and began oral contraceptive therapy. During the first year of marriage her weight remained fairly constant at 57.8 kg, although she began having frequent nightmares and persistent attacks of vaginitis. She had been hospitalized in June 1972 for an "inflamed ovary"; immediately thereafter, oral contraceptive therapy was terminated. Because of subsequent oligoamenorrhea she was subjected to cyclic hormonal therapy, which did result in withdrawal bleeding. At that time 24-hour urinary follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels were reported as "normal." In September 1973 the patient was hospitalized for uterine dilation and curettage. Her recorded

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