Anorexia nervosa and gender identity disorder in biologic males: a report of two cases.
Gender identity disorder is a rare disorder of uncertain etiology. The emphasis on body shape in this disorder suggests that there may be an association with anorexia nervosa.


METHODS
We report two cases of anorexia nervosa and gender identity disorder in biologic males who presented to an eating disorders service.


RESULTS
One was treated successfully as an outpatient and subsequently underwent gender reassignment surgery. The other patient required admission and prolonged psychotherapy.


CONCLUSIONS
Differences between the two cases are discussed. Issues of gender identity should be considered in the assessment of male patients presenting with anorexia nervosa.
Winston
Anthony P
AP
Eating Disorders Unit, Woodleigh Beeches Centre, Warwick Hospital, Warwick, United Kingdom. anthony.winston@swarkpct.nhs.uk
Acharya
Sudha
S
Chaudhuri
Shreemantee
S
Fellowes
Lynette
L
D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications*; D005783:Gender Identity; D005837:Genitalia, Male / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures; D012649:Self Concept; D014190:Transvestism / Q000150:complications* / Q000601:surgery