title: [The differential diagnosis of anorexia nervosa. Coincidence of somatic disease and psychogenic emaciation (author's transl)].
abstract: Three female patients with cachexia are reported in whom a psychogenic emaciation (anorexia nervosa) had been assumed. The postpubertal onset of the disease, deliberate limitation of diet, vomiting and subsequent emaciation and--in 2 patients--amenorrhea, as well as demonstrable experience of conflict supported this. The disease ran a lethal course. Autopsy revealed serious somatic diseases (stenosis of the ileum in two cases and brain tumor in one); their symptoms had been largely overlapped by those of anorexia nervosa.
mesh_terms: D000293:Adolescent; D000328:Adult; D000568:Amenorrhea; D000856:Anorexia Nervosa / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D001344:Autopsy; D001799:Blood Sedimentation; D002100:Cachexia / Q000175:diagnosis / Q000209:etiology; D002551:Cerebral Ventricle Neoplasms / Q000150:complications; D003424:Crohn Disease / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D013610:Tachycardia / Q000150:complications; D014397:Tuberculosis, Pulmonary / Q000150:complications; D014717:Vertigo
vernacular_title: Zur Differentialdiagnose der Anorexia nervosa. Koinzidenz von somatischer Erkrankung und psychogener Magersucht