Blomquist L, Svensson H, Lindhagen J, Oberg K
Lakartidningen. 1989 Oct 11;86(41):3467-70.
Although concealed abuse of cathartic laxatives is probably an unusual cause of severe longstanding diarrhoea, nevertheless, it is presumably a more frequent cause of such diarrhoea than are endocrine pancreatic tumours. The patient often undergoes extensive and expensive investigations before the diagnosis can be reached if indeed it ever is. The condition is almost exclusive to women, often those employed in medical care. A psychiatric background is usual, frequently with anorectic traits. The abuse often continues even after 'disclosure' and commonly defies psychotherapy.
尽管隐匿性滥用泻剂性泻药可能是导致长期严重腹泻的罕见原因，但可以推测，它比胰腺内分泌肿瘤更常引发此类腹泻。在确诊（如果确实能确诊的话）之前，患者常常要接受广泛且昂贵的检查。这种情况几乎只发生在女性身上，她们通常从事医疗护理工作。患者通常有精神病史，且常有厌食倾向。即便“坦白”之后，滥用行为往往仍会继续，而且通常难以通过心理治疗来戒除。
