Much has been accomplished during the last few years with the child who is chronically underweight for his height. Through the efforts of Emerson1 and others, the relation of "malnutrition" to physical
defects, improper food habits, overfatigue and errors of home and school life has been pointed out. Many underweight children have been made "free to gain" by the removal of these handicaps.
In our clinical work with the underweight child, we occasionally encountered children who, although rendered free to gain, failed to increase in weight on account of a persistent anorexia. These children with poor appetite ate less than the required number of calories and were underweight because they ate insufficiently. Physical and laboratory examinations showed them to be free from tuberculosis, anemia, physical defects, diseased tonsils, adenoids and other known causes of anorexia. Their diets were like those on which our other underweight children thrived, containing an
SAUER LW, MINSK LD, ALEXANDER WG. GASTRIC FINDINGS IN CHILDREN WITH ANOREXIA. JAMA. 1922;79(3):184–187. doi:10.1001/jama.1922.02640030010004
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