Oster J R
South Med J. 1987 Jan;80(1):58-67. doi: 10.1097/00007611-198701000-00015.
The binge-purge syndrome (bulimarexia) is one of the four major eating disorders. It is a very important entity with which all clinicians should have some familiarity. This is true not only because of its frequency and the potential severity of several of its numerous complications, but because it has become one of the common masqueraders of modern medicine. Indeed, nephrologists may become interested in and involved with patients having this disorder because of their frequent fluid-electrolyte and acid-base disturbances, particularly hypokalemia and metabolic alkalosis, which initially often cause considerable diagnostic confusion. This paper presents an overall view of the binge-purge syndrome, with focus on several of its nephrologic aspects.
暴饮暴食-清除综合征（贪食症）是四大主要饮食失调症之一。它是一个所有临床医生都应有所了解的非常重要的病症。不仅因为其发病率以及众多并发症中一些潜在的严重性，还因为它已成为现代医学中常见的伪装病症之一。实际上，肾病学家可能会因患有这种病症的患者频繁出现水电解质和酸碱紊乱，尤其是低钾血症和代谢性碱中毒，而对其产生兴趣并参与治疗，这些紊乱最初常常会导致相当大的诊断困惑。本文对暴饮暴食-清除综合征进行了全面概述，重点关注其几个肾病学方面。
