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June 1995

Eating Disorders-Reply

Author Affiliations

Children's National Medical Center Adolescent and Young Adult Medicine 111 Michigan Ave NW Washington, DC 20010

Arch Pediatr Adolesc Med. 1995;149(6):707. doi:10.1001/archpedi.1995.02170190117028

Indeed, eating disorders do occur during childhood. In a recent retrospective review of 21 patients with anorexia nervosa aged 12 years and younger (age at onset ranging from 7 to 12 years), diagnostic delay owing to lack of recognition was demonstrated.1 Additional findings to be highlighted were comorbidity with depression, a distinct subgroup with personality disorder, and another with features of the "vulnerable child syndrome."2 These findings were consistent with those of other investigators.3-6 In the end, however, even an early diagnosis may fail to bring about appropriate treatment if there are insurance problems. This issue has been recently addressed in a collaborative effort of the National Adolescent Health Information Center and the National Center for Education in Maternal and Child Health.7