title: Very early-onset bulimia nervosa: report of two cases.
abstract: Bulimia nervosa is very rare in children below the age of 14 years, and no reliable reports of prepubertal bulimia nervosa have been published. We describe two cases of early-onset bulimia nervosa who presented before the age of 14 years, and with premenarchal onset in one patient. Both girls demonstrated high levels of the risk factors known to play a part in the etiology of bulimia nervosa. Implications of these cases regarding the etiology and occurrence of bulimia nervosa in younger adolescents are discussed.
authors.affiliation: Northgate Clinic, London, United Kingdom.
authors.forename: S
authors.initials: S
authors.lastname: Stein
authors.forename: N
authors.initials: N
authors.lastname: Chalhoub
authors.forename: M
authors.initials: M
authors.lastname: Hodes
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002032:Bulimia / Q000175:diagnosis / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006801:Humans