title: Complete recovery from intractable bulimia nervosa by the surgical cure of primary hyperparathyroidism.
abstract: We document here the first case of bulimia nervosa associated with primary hyperparathyroidism. The binge eating and self-induced vomiting that occurred for more than 10 years disappeared completely after the surgical cure of primary hyperparathyroidism. Depressive and anxiety symptoms also improved dramatically. The possible influence of derangement in calcium metabolism on the neurobiochemical mechanism of bulimia nervosa is discussed.
authors.affiliation: Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Ozawa
authors.forename: H
authors.initials: H
authors.lastname: Koyano
authors.forename: T
authors.initials: T
authors.lastname: Akama
mesh_terms: D000328:Adult; D002032:Bulimia / Q000150:complications* / Q000628:therapy*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications* / Q000601:surgery*; D012074:Remission Induction