Winstead D K, Willard S G
South Med J. 1983 Mar;76(3):313-5.
Bulimia is an eating disorder characterized by the ingestion of large amounts of food, usually followed by self-induced vomiting or laxative abuse. Although sometimes a symptom of obesity or anorexia nervosa, bulimia is often associated with borderline weight and nutritional status and thus may be difficult to detect. Since secrecy and shame accompany this syndrome, patients are reluctant to seek treatment. We present ten diagnostic clues for identifying bulimic patients: (1) preoccupation with weight, (2) gastrointestinal complaints, (3) dental and oropharyngeal changes, (4) salivary gland enlargement, (5) edema and bloating, (6) amenorrhea, (7) dermatologic complaints, (8) substance abuse, (9) laboratory changes, and (10) serious consequences. A case study illustrates the major features of the disorder and its treatment.
神经性贪食症是一种饮食失调症，其特征是摄入大量食物，通常随后会自我催吐或滥用泻药。虽然有时是肥胖症或神经性厌食症的症状，但神经性贪食症通常与边缘体重和营养状况有关，因此可能难以察觉。由于这种综合征伴随着隐秘性和羞耻感，患者不愿寻求治疗。我们提出了十条用于识别神经性贪食症患者的诊断线索：（1）对体重的过度关注，（2）胃肠道不适，（3）牙齿和口咽变化，（4）唾液腺肿大，（5）水肿和腹胀，（6）闭经，（7）皮肤问题，（8）药物滥用，（9）实验室检查变化，以及（10）严重后果。一项病例研究说明了该疾病的主要特征及其治疗方法。
