Document Detail

Achalasia mimicking prepubertal anorexia nervosa.
MedLine Citation:
PMID:  12655633     Owner:  NLM     Status:  MEDLINE    
A 9-year-old girl presents for continuing weight loss of 10 kg over the course of 1 year. Medical history showed three episodes of pneumonia requiring hospital admission in the 6 months before presentation and 4 months of weekly psychotherapy for anorexia nervosa. A thorough history of eating behavior and a review of systems revealed not only typical aspects of prepubertal anorexia nervosa but also vomiting at night while asleep, difficulty drinking liquids, epigastric pain, and a frequent experience of "a lump in the throat"; these symptoms were not suggestive of a diagnosis of anorexia nervosa but rather of esophageal achalasia. The patient was transferred to the Department of Pediatrics, and a diagnosis of esophageal achalasia was made by chest x-ray and barium swallow. After dilatation and botulinum toxin application, the patient regained weight easily and was discharged in stable condition. In this case, esophageal achalasia mimicked prepubertal anorexia nervosa.
Andreas Richterich; Romuald Brunner; Franz Resch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The International journal of eating disorders     Volume:  33     ISSN:  0276-3478     ISO Abbreviation:  Int J Eat Disord     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-25     Completed Date:  2003-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  356-9     Citation Subset:  IM    
Copyright Information:
Copyright 2003 by Wiley Periodicals, Inc.
Department of Child and Adolescent Psychiatry, University of Heidelberg, Blumenstrasse 8, 69115 Heidelberg, Germany.
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MeSH Terms
Age of Onset
Anorexia Nervosa / diagnosis*
Anti-Dyskinesia Agents / therapeutic use
Botulinum Toxins / therapeutic use
Diagnosis, Differential
Esophageal Achalasia / diagnosis*,  therapy
Pneumonia / etiology
Treatment Outcome
Weight Loss
Reg. No./Substance:
0/Anti-Dyskinesia Agents; 0/Botulinum Toxins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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