Abrams R A, Ruff J C
J Am Dent Assoc. 1986 Nov;113(5):761-4. doi: 10.14219/jada.archive.1986.0284.
Bulimia is an eating disorder disease that presents difficulties in its diagnosis, primarily because of the secretive nature of the person with the disease. The disease is most common in young females, and there is an average of a 4-year delay between the onset of the disease and the patient's self-referral for treatment. Objective oral signs and symptoms of bulimia do exist and their presence can facilitate a diagnosis of bulimia during routine examination. The realization that five oral signs and symptoms of bulimia--enamel erosion, salivary gland enlargement, xerostomia, oral mucosal erythema, and cheilosis--are associated with the disease can eliminate some laboratory tests as well as facilitate an earlier diagnosis of bulimia.
暴食症是一种饮食失调疾病，其诊断存在困难，主要是因为患病者的行为具有隐秘性。这种疾病在年轻女性中最为常见，从发病到患者自行寻求治疗平均有4年的延迟。暴食症确实存在客观的口腔体征和症状，它们的出现有助于在常规检查中诊断暴食症。认识到暴食症的五种口腔体征和症状——牙釉质侵蚀、唾液腺肿大、口干、口腔黏膜红斑和唇干裂——与该疾病相关，既可以省去一些实验室检查，也有助于更早地诊断暴食症。
