Post-viral onset of anorexia nervosa.

Br J Psychiatry

Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park.

Published: March 1995

Background: The pathogenesis of anorexia nervosa (AN) is controversial.

Method: A retrospective case series was studied to investigate the post-viral onset of AN.

Results: Four consecutive in-patients with severe restrictive AN spontaneously volunteered histories of 'glandular fever'-like illnesses immediately before the onset of their eating disorder. This association has not previously been described. Possible pathogenic pathways include both non-specific and specific viral disruptions in central homeostasis, particularly involving corticotrophin-releasing hormone (CRH) regulation.

Conclusion: Such mechanisms are speculative, but biologically and historically plausible.

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Source
http://dx.doi.org/10.1192/bjp.166.3.386DOI Listing

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