Voge V M, Yacavone D
Aviat Space Environ Med. 1987 Apr;58(4):347-9.
This is a case report of a male naval aviator suffering from bulimia. Bulimia is an eating disorder normally associated with young affluent females. A review of bulimia as to etiology, characteristics, prevalence, diagnosis, treatment, and prognosis is presented to familiarize the reader with the disease. About 1% of the U.S. male population is afflicted with this disorder, while it has been estimated that up to 22% of females are afflicted. The only documented case of bulimia in a male aircrewman is presented. He was misdiagnosed on several occasions. When diagnosed, his symptomatology was severe. He was offered psychotherapy and close medical supervision and allowed to return to flight duty. His disease was chronic and recurrent. He was eventually grounded again. It is felt that bulimics are a very poor risk for return to flight duty due to the recurrent nature of the disease, the manipulative characteristics of those afflicted and the extreme difficulty of following patients suffering from this illness.
这是一篇关于一名患有贪食症的男性海军飞行员的病例报告。贪食症是一种通常与年轻富裕女性相关的饮食失调症。本文对贪食症的病因、特征、患病率、诊断、治疗和预后进行了综述，以使读者熟悉这种疾病。美国约1%的男性人口患有这种疾病，而据估计，高达22%的女性受其困扰。文中介绍了唯一有记录的男性空勤人员患贪食症的病例。他曾多次被误诊。确诊时，他的症状很严重。他接受了心理治疗和密切的医疗监督，并被允许重返飞行岗位。他的疾病是慢性且复发的。他最终再次停飞。由于该疾病的复发性、患者的操纵性特征以及跟踪此类患者的极端困难，人们认为贪食症患者恢复飞行岗位的风险非常高。
