We report a case of anorexia nervosa in a 14-year-old girl following w
ithdrawal of oral prednisolone used in the treatment of asthma. The pa
tient exhibited depressed affect and disturbance of body image prior t
o onset of anorexia. To the authors' knowledge this is the first repor
t of anorexia nervosa precipitated by steroid withdrawal. The pathogen
esis is discussed with reference to recent literature, considering bot
h the physiological and psychological impact of steroid withdrawal. (C
) 1996 by John Wiley & Sons, Inc.