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Pineal germinoma presenting as anorexia nervosa: Case report and review of the literature
Author(s) -
Winston Anthony P.,
Barnard Dan,
D'Souza Geraldine,
Shad Amjad,
Sherlala Khaled,
Sidhu Jyoti,
Singh Suraj Pal
Publication year - 2006
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.20322
Subject(s) - anorexia nervosa , psychopathology , psychology , anorexia , vomiting , pediatrics , presentation (obstetrics) , psychiatry , medicine , eating disorders , surgery
Objective: Tumors of the hypothalamic‐pineal region may present with a wide variety of symptoms, including disturbed eating. We present a case where such a tumor was misdiagnosed as anorexia nervosa. Method: We describe a case of pineal germinoma invading the hypothalamus, which was initially diagnosed as anorexia nervosa. Results: Clinical features included weight loss, vomiting, pyrexia, hypernatraemia, and visual disturbance and the typical psychopathology of anorexia nervosa was absent. Conclusion: Organic disorder should always be considered before making a diagnosis of anorexia nervosa, particularly if the presentation is atypical. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006