An uncommon condition: Anorexia nevrosa in the prepubertal period occurs mo
re frequently in boys than common anorexia nevrosa and is characterized by
rapid major weighs loss more so than by signs of bulimia.
Associated signs: Depression and volitional disorders are frequently observ
ed together with growth retardation which portends poor prognosis. The pati
ent's personal history (eating disorders during infancy are often found) is
an essential factor together with psychiatric conditions in the parents wh
o often have major narcissistic fragility.