Hellström I
Scand J Dent Res. 1977 Jan;85(1):71-86. doi: 10.1111/j.1600-0722.1977.tb00535.x.
Anorexia nervosa (AN), a psychosomatic disease mainly affecting young women, is characterized by conscious starvation, periods of excessive carbohydrate intake and often deliberate vomiting. Medical history, dental examination, and saliva tests of 39 patients aged 14 to 42 years, having suffered from AN for periods of 1 to 20 years, showed dental caries, due to excessive carbohydrate consumption, in all subjects, often in a rampant form. In patients with a history of intense vomiting (27 cases) severe lingual-occlusal erosion (perimylolysis) was nearly always present. Buccal erosion, mainly due to high consumption of acid fruits and drinks to relieve thirst caused by dehydration, was more frequent in vomiting than in non-vomiting patients. Subnormal values of saliva properties, owing to dehydration or xerostomia-inducing medication, were present in the majority of cases; the lowest values occurred in those vomiting. The association AN - vomiting - perimylolysis is discussed, as well as prophylactic and therapeutic measures. A medical, psychiatric, and dental survey of AN is presented.
神经性厌食症（AN）是一种主要影响年轻女性的身心疾病，其特征为自觉节食、有过量摄入碳水化合物的时期且常蓄意呕吐。对39名年龄在14至42岁、患神经性厌食症1至20年的患者进行的病史、牙科检查及唾液检测显示，所有受试者均因过量摄入碳水化合物而患有龋齿，且往往呈猖獗型。在有剧烈呕吐史的患者（27例）中，几乎总是存在严重的舌面-咬合面侵蚀（周缘性牙侵蚀）。颊面侵蚀主要是由于为缓解脱水引起的口渴而大量食用酸性水果和饮料所致，在呕吐患者中比非呕吐患者更常见。由于脱水或导致口干的药物，大多数病例的唾液特性值低于正常水平；最低值出现在呕吐患者中。文中讨论了神经性厌食症 - 呕吐 - 周缘性牙侵蚀之间的关联以及预防和治疗措施。还介绍了对神经性厌食症进行的医学、精神病学和牙科调查。
