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Clinical Crossroads |

A 24-Year-Old Woman With Anorexia Nervosa

Katherine A. Halmi, MD, Discussant
JAMA. 1998;279(24):1992-1998. doi:10.1001/jama.279.24.1992.
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DR DALEY: Ms K is a 24-year-old, single graduate student with a 7-year history of anorexia nervosa. She attends a professional graduate program and lives in Boston with her boyfriend whom she describes as very supportive. Her medical insurance is through a commercial indemnity company.

Ms K developed anorexia nervosa about 7 years ago when she matriculated college. She is 5 ft 5 in (162.5 cm) tall. Her highest body weight has been 115 lb (52 kg) and her lowest body weight has been 67 lb (30 kg). Her current weight is about 75 lb (34 kg) and she has recently determined not to let her weight drop below 73 lb (33 kg). She weighs herself about every 2 weeks. She does not use laxatives or induce vomiting. She has a history of exercising (biking) to reduce her weight, but has not done so recently. She has never been told she has any electrolyte disturbances. She has been amenorrheic for many years.

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