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Int J Eat Disord. 2006 Nov;39(7):606-8.

Pineal germinoma presenting as anorexia nervosa: Case report and review of the literature.

Author information

  • 1Eating Disorders Unit, Woodleigh Beeches Centre, Warwick Hospital, Warwick, United Kingdom. Anthony.Winston@SWarkPCT.nhs.uk

Abstract

OBJECTIVE:

Tumors of the hypothalamic-pineal region may present with a wide variety of symptoms, including disturbed eating. We present a case where such a tumor was misdiagnosed as anorexia nervosa.

METHOD:

We describe a case of pineal germinoma invading the hypothalamus, which was initially diagnosed as anorexia nervosa.

RESULTS:

Clinical features included weight loss, vomiting, pyrexia, hypernatraemia, and visual disturbance and the typical psychopathology of anorexia nervosa was absent.

CONCLUSION:

Organic disorder should always be considered before making a diagnosis of anorexia nervosa, particularly if the presentation is atypical.

(c) 2006 by Wiley Periodicals, Inc.

PMID:
17041920
[PubMed - indexed for MEDLINE]
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