title: A case of testicular feminization syndrome with bulimia nervosa.
abstract: A 19-year-old patient with a female appearance visited our department for treatment of bulimia nervosa. The patient had primary amenorrhea. Chromosomal studies revealed a 46XY karyotype, and the plasma testosterone level was in the range of normal adult males. The patient was diagnosed as having testicular feminization syndrome. The psychological background, such as severe anxieties concerning her body, was behind the eating disorders. Examinations revealed intraabdominal testes. A bilateral gonadectomy was performed, and no androgen receptors were detected in the suprapubic skin. After the gonadectomy, the patient's mental status became much more stable, and the ability to control her eating pattern was restored. Testicular feminization with bulimia nervosa is rare in Japan. The importance of mental support and a careful follow-up to people with testicular feminization is being discussed.
authors.affiliation: First Department of Internal Medicine, Kyoto Prefectural University of Medicine, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Hashiramoto
authors.forename: T
authors.initials: T
authors.lastname: Yoshida
authors.forename: N
authors.initials: N
authors.lastname: Sakane
authors.forename: M
authors.initials: M
authors.lastname: Kondo
authors.forename: I
authors.initials: I
authors.lastname: Kitagawa
authors.forename: H
authors.initials: H
authors.lastname: Honjo
mesh_terms: D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000235:genetics* / Q000523:psychology / Q000601:surgery; D002032:Bulimia / Q000235:genetics* / Q000523:psychology; D005783:Gender Identity; D012739:Gonadal Steroid Hormones / Q000097:blood; D006801:Humans; D007621:Karyotyping; D008297:Male; D009919:Orchiectomy; D010641:Phenotype
chemical_list: D012739:Gonadal Steroid Hormones