两种与食物相关的强迫性病症（神经性贪食症和强迫性饮水症）对氟西汀的不同反应。
Divergent responses to fluoxetine from two compulsive, food-related conditions: bulimia nervosa and compulsive water drinking.
作者信息
Kornreich C, Dan B, Verbanck P, Fontaine E, Pelc I
机构信息
Department of Psychiatry, Brugmann University Hospital, Université Libre de Bruxelles, Belgium.
出版信息
Biol Psychiatry. 1998 Feb 15;43(4):310-1. doi: 10.1016/S0006-3223(97)00244-8.
BACKGROUND
The association of compulsive water drinking with bulimia nervosa is rarely encountered. Nevertheless similar behavior patterns could involve a common pathophysiological mechanism.
METHODS
A case report with the association of those two disorders is described. Treatment with fluoxetine was introduced to alleviate the compulsive aspects of those disorders.
RESULTS
Fluoxetine had a positive effect on bulimia nervosa but none on compulsive water drinking.
CONCLUSIONS
The different response to pharmacologic treatment could mean that bulimia nervosa and compulsive water drinking are based on different physiological mechanisms.
背景
强迫性饮水与神经性贪食症的关联很少见。然而，相似的行为模式可能涉及共同的病理生理机制。
方法
描述了一例这两种疾病相关联的病例报告。采用氟西汀治疗以减轻这些疾病的强迫性症状。
结果
氟西汀对神经性贪食症有积极作用，但对强迫性饮水无效。
结论
对药物治疗的不同反应可能意味着神经性贪食症和强迫性饮水基于不同的生理机制。
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