IVAN FRAS, M.D., F.A.C.P
To the editor: The study on prognosis in anorexia nervosa by Drs. Halmi, Brodland, and Loney (Ann Intern Med 78:907-909, 1973) leads me to draw parallels between anorexia nervosa and factitial disease in general.
Whether we can consider anorexia nervosa as a special form of factitial or self-induced disease is open to more discussion than can be undertaken in this letter. But there are similarities in the prognosis for the two conditions: the authors of the above-mentioned study suggest that vomiting and laxative abuse are among the criteria presaging a poor outcome. Both are conscious acts. So are the acts
FRAS I. Anorexia Nervosa: A Factitial Disease. Ann Intern Med. ;79:458–459. doi: 10.7326/0003-4819-79-3-458
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Published: Ann Intern Med. 1973;79(3):458-459.
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