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September 6, 1976

Anorexia Nervosa

Author Affiliations

Montefiore Hospital and Medical Center Bronx, NY

JAMA. 1976;236(10):1114. doi:10.1001/jama.1976.03270110016005

To the Editor.—  In the light of the considerable experience that my colleagues and I have had in recent years with patients who have anorexia nervosa,1,2 I want to emphasize the likelihood of this diagnosis in the case posed by Dr Spiotta in a recent questions and answers article (235: 308, 1976). While Dr Spiotta gives information about only the patient's weight loss and not about her current weight and height, eating behavior, or desired body image, the accompanying menstrual history and lack of response to both progesterone and clomiphene citrate all "ring true" for a diagnosis of anorexia nervosa. Drs Hoffman and Ross were quite correct in emphasizing this in their discussion of the differential diagnosis, and I will be surprised if the diagnosis proves otherwise.However, I would like to suggest the inclusion of one other procedure in the evaluation, not to rule out another diagnostic consideration