Simon D, Laudenbach P, Lebovici M, Mauvais-Jarvis P
Nouv Presse Med. 1979 Jun 30;8(29):2399-402.
Had markedly anarchic dietary behaviour with alternating anorexia and bulimia, or even self-induced vomiting. These disturbances in dietary behaviour fall within the context of an unusual neurotic syndrome, predominantly hysterical. There were also menstrual problems, most often amenorrhoea. The physiopathological relations between these symptoms and signs may be envisaged as follows: the initial psychological problems explain the dysorexia; the menstrual difficulties are related at one and the same time to the psychological problems and the dysorexia; the latter is responsible for the parotidomegaly and for disturbances in carbohydrate and lipid metabolism.
有明显的无规律饮食行为,交替出现厌食和贪食,甚至自我催吐。这些饮食行为紊乱属于一种不寻常的神经症综合征,主要是癔症性的。还存在月经问题,最常见的是闭经。这些症状和体征之间的生理病理关系可设想如下:最初的心理问题解释了食欲障碍;月经困难同时与心理问题和食欲障碍有关;后者导致腮腺肿大以及碳水化合物和脂质代谢紊乱。