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  • Title: Pineal germinoma presenting as anorexia nervosa: Case report and review of the literature.
    Author: Winston AP, Barnard D, D'Souza G, Shad A, Sherlala K, Sidhu J, Singh SP.
    Journal: Int J Eat Disord; 2006 Nov; 39(7):606-8. PubMed ID: 17041920.
    Abstract:
    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.
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