Danziger Y, Mukamel M, Zeharia A, Dinari G, Mimouni M
Department of Emergency Pediatrics, Children's Medical Center of Israel.
Isr J Med Sci. 1994 Aug;30(8):581-4.
The growth charts of 15 patients with anorexia nervosa during the prepubertal and pubertal period were carefully reconstructed. All 15 (13 females, 2 males) had been suffering from anorexia nervosa for at least 6 months prior to referral. Mean age at referral was 13.3 +/- 1.3 years and mean duration of anorectic symptoms was 17 +/- 8 months. In all 15 cases growth arrest had been present for 13 +/- 8.5 months prior to admission. During the follow-up period, catch-up growth to different degrees was observed in the 13 patients (11 females, 2 males) who remained under treatment for at least 1 year. On the assumption that stunting of growth during the prepubertal and pubertal period is a very frequent, if not a constant, sign of anorexia nervosa of 6 months duration or more, it could be considered an additional criterion for diagnosis of the disease. The projected height should be included in the calculation of ideal weight. Since patients with growth arrest are usually referred first to a general pediatrician or a pediatric endocrinologist, it is recommended that a detailed history of caloric intake, as well as the attitude of the patient to food, be obtained in each case in order to confirm the diagnosis of anorexia nervosa.
对15例神经性厌食症患者青春期前和青春期的生长图表进行了仔细重建。所有15例患者（13例女性，2例男性）在转诊前至少已患神经性厌食症6个月。转诊时的平均年龄为13.3±1.3岁，厌食症状的平均持续时间为17±8个月。所有15例患者在入院前生长停滞已存在13±8.5个月。在随访期间，对至少接受1年治疗的13例患者（11例女性，2例男性）观察到了不同程度的追赶生长。假设青春期前和青春期的生长发育迟缓是持续6个月或更长时间的神经性厌食症的一个非常常见（即便不是始终存在）的体征，那么它可被视为该疾病诊断的一个附加标准。理想体重的计算应纳入预计身高。由于生长停滞的患者通常首先会被转诊至普通儿科医生或儿科内分泌专家处，因此建议在每种情况下都获取详细的热量摄入史以及患者对食物的态度，以确诊神经性厌食症。
