Since its introduction in the Diagnostic and Statistical manual of Men
tal Disorders (DSM-III) in 1979, bulimia nervosa has not only evoked s
cientific interest. The number of popular articles on this typical ''w
omen's disease'' has reached an unexpected dimension over the last dec
ade. Articles on eating disorders in men are rare and restricted to si
ngle case studies. Due to the increasing prevalence of bulimia in indu
strialized nations as well as changes in traditional stereotypes and g
enderspecific concepts of beauty, the number of men suffering from eat
ing disorders is rising. This trend has considerable epidemiological i
mplications for scientific research and clinical care. In this article
, men with bulimia nervosa are examined under epidemiological, biologi
cal and psychological aspects. Data was collected from a university ba
sed out-patient clinic specialized in eating disorders and considered
representative of West German industrial population.