Chipkevitch E, Fernandes A C
Division of Adolescent Medicine, Darcy Vargas Children's Hospital (SUDS), São Paulo, Brasil.
Arq Neuropsiquiatr. 1993 Jun;51(2):270-4. doi: 10.1590/s0004-282x1993000200022.
We report the case of a 10-year-old girl with a mature teratoma in the hypothalamic region. The patient presented a 2-month history of anorexia, psychic disturbances and a 37% loss of body weight. These symptoms had led initially to a diagnosis of major depression and atypical anorexia nervosa. She also presented some signs and symptoms of diencephalic syndrome. This case illustrates the importance of considering a slow-growing mass as a rare but real possibility in the differential diagnosis of anorexia nervosa, mainly in atypical cases.
我们报告了一名10岁女孩下丘脑区域成熟畸胎瘤的病例。该患者有2个月的厌食、精神障碍病史，体重减轻了37%。这些症状最初导致诊断为重度抑郁症和非典型神经性厌食症。她还表现出一些间脑综合征的体征和症状。该病例说明了在神经性厌食症的鉴别诊断中，尤其是非典型病例，考虑生长缓慢的肿块这一罕见但实际存在的可能性的重要性。
