Hypothalamic tumor associated with atypical forms of anorexia nervosa and diencephalic syndrome.
We report the case of a 10-year-old girl with a mature teratoma in the hypothalamic region. The patient presented a 2-month history of anorexia, psychic disturbances and a 37% loss of body weight. These symptoms had led initially to a diagnosis of major depression and atypical anorexia nervosa. She also presented some signs and symptoms of diencephalic syndrome. This case illustrates the importance of considering a slow-growing mass as a rare but real possibility in the differential diagnosis of anorexia nervosa, mainly in atypical cases.
Chipkevitch
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Division of Adolescent Medicine, Darcy Vargas Children's Hospital (SUDS), São Paulo, Brasil.
Fernandes
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AC
D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000209:etiology; D002648:Child; D003866:Depressive Disorder / Q000175:diagnosis* / Q000209:etiology; D003884:Dermoid Cyst / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007029:Hypothalamic Neoplasms / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D015431:Weight Loss