Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH.
Center for Internal Medicine and Pediatrics, MetroHealth Medical Center, Cleveland, OH.
Int J Eat Disord. 2015 Nov;48(7):942-5. doi: 10.1002/eat.22438. Epub 2015 Sep 4.
Patients with gender dysphoria and patients with eating disorders often experience discontent with their bodies. Several reports have recognized the co-occurrence of these two conditions, typically in adults who identify as transgender females and desire a more feminine physique. This case report, in contrast, describes a 16-year-old patient with a female sex assigned at birth who first presented with features consistent with anorexia nervosa and later revealed underlying gender dysphoria with a drive for a less feminine body shape. We discuss both the path to recognizing gender dysphoria in this patient as well as the impact of treatment on his eating disorder and overall well-being. This case is one of only a few reports describing a female-to-male transgender patient with an eating disorder and is the first to explore the effects of hormone and surgical intervention in an adolescent patient.
患有性别焦虑症和饮食失调症的患者常常对自己的身体感到不满。有几项报告已经认识到这两种情况同时存在，通常发生在自认为是跨性别女性并希望拥有更女性化身材的成年患者中。相比之下，本病例报告描述了一位 16 岁的女性出生时被分配为女性的患者，她最初表现出厌食症的特征，后来发现存在潜在的性别焦虑症，渴望拥有不太女性化的身材。我们讨论了在这名患者中识别性别焦虑症的途径，以及治疗对他的饮食障碍和整体健康状况的影响。这种情况是少数描述患有饮食障碍的跨性别男性患者的报告之一，也是第一个探讨激素和手术干预对青少年患者的影响的报告。
