Hurst P S, Lacey L H, Crisp A H
Postgrad Med J. 1977 Jun;53(620):298-305. doi: 10.1136/pgmj.53.620.298.
Seventeen anorexia nervosa patients were examined dentally and their dietary histories and eating habits studied. Analysis of the data confirmed earlier observations dental deterioration associated with anorexia nervosa. The deterioration included a pattern of enamel dissolution in cases of vomiting, regurgitation, and/or the consumption of large amounts of citrus fruits; and an altered caries response due to abnormal carbohydrate consumption. Despite the patient's probably insistent denial of 'anorectic' eating habits, the general practitioner should consider the existence of anorexia nervosa in the presence of such abnormal features, especially in young women. The relationship of these findings to larger populations with similar eating habits is discussed.
对17名神经性厌食症患者进行了牙科检查，并研究了他们的饮食史和饮食习惯。数据分析证实了早期观察到的与神经性厌食症相关的牙齿恶化情况。这种恶化包括在呕吐、反流和/或大量食用柑橘类水果的情况下出现的牙釉质溶解模式；以及由于碳水化合物摄入异常导致的龋齿反应改变。尽管患者可能坚持否认“厌食”饮食习惯，但全科医生在出现此类异常特征时，应考虑神经性厌食症的存在，尤其是在年轻女性中。本文讨论了这些发现与具有类似饮食习惯的更大人群之间的关系。
