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Anorexia nervosa in male subjects.

The term anorexia nervosa does not indicate merely weight loss in association with psychiatric disturbance but rather it designates a syndrome with distinctive characteristics. The author reports the case histories of six young male patients who fulfilled the rather stringent criteria needed for the diagnosis of anorexia nervosa and reports on estimations of urinary testosterone and of gonadotrophins which were undertaken in order to find an equivalent in the male of the menstrual disturbance which is such a prominent feature of the syndrome in females. The conclusions reached are that anorexia nervosa does undoubtedly occur in males, that these subject do show a disturbance in their sex hormones while they are emaciated, but that the precise nature of this endocrine disturbance remains to be clarified.