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Am J Psychiatry 1976; 133:580-582
Copyright © 1976 by American Psychiatric Association


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Hypothalamic tumor presenting as anorexia nervosa

GB Heron and DA Johnston

The authors describe a patient with symptoms of anorexia nervosa who was initially treated on a psychiatric ward but was later found to have a hypothalamic tumor. They recommend repeated neurological and endocrine evaluations for patients with anorexia nervosa who are unresponsive or only partially responsive to psychiatric treatment. Initially negative medical evaluations, obvious psychopathology, and even some response to treatment may all prove insufficient to rule out organic disease.


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