神経性食思不振症を併発したインスリン依存型糖尿病の1例

Abstract

A 31-year-old woman was admitted to our hospital for examination and treatment of emaciation in October 1996. She had been admitted to another hospital in 1993 for general fatigue and thirst. She was diagnosed as having insulin-dependent diabetes mellitus (IDDM) and insulin therapy began. She was readmitted to that institution in 1994 because of emaciation, and was diagnosed as having anorexia nervosa (AN). Insulin therapy was stopped due to the frequent development of hypoglycemia. At the present admission, the patient's body weight was 34kg. Interviews with the patient and her family and psychotherapy were proposed. During the interviews and psychotherapy, the patient's emaciation gradually improved. We consider this to be an interesting case of IDDM combined with AN. We suspect that the patient's strong aversion to obesity caused her to develop AN.