Document Detail

Life-threatening tonsil hyperplasia probably induced by severe bulimia nervosa: a case report.
MedLine Citation:
PMID:  11135343     Owner:  NLM     Status:  MEDLINE    
METHOD: A case of life-threatening tonsil hyperplasia probably induced by severe bulimia nervosa is reported. A 14-year-old obese Caucasian girl developed severe dyspnea caused by an enlarged hyperplastic lingual tonsil after referral to a child and adolescent psychiatry unit after a suicide attempt during a family conflict. The enlargement of the lingual tonsil was seen 6 months after the development of severe bulimia nervosa. Surgical extirpation of the hyperplastic tissue was done without complications. Hyperplasia of lymphatic tissue associated with bulimia nervosa has never been described before.
RESULTS AND DISCUSSION: There was no atopic or infectious history in this case. Presumably, excessive vomiting led to extreme tonsillar growth by irritating the lymphocyte tissue. The relationship between bulimia nervosa and tonsil hyperplasia is far from clear. Further clinical observations are necessary.
C Göpel; F Herrmann; A Marcus
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The International journal of eating disorders     Volume:  29     ISSN:  0276-3478     ISO Abbreviation:  Int J Eat Disord     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-01-12     Completed Date:  2001-01-25     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  100-3     Citation Subset:  IM    
Hospital "Mutterhaus der Borromäerinnen," Department of Child and Adolescent Psychiatry/Center for Psychobiological and Psychosomatic Research, University of Trier, Trier, Germany.
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MeSH Terms
Airway Obstruction / etiology*,  psychology
Bulimia / complications*,  psychology
Palatine Tonsil / pathology*
Suicide, Attempted / psychology
Vomiting / complications,  psychology

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