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Osteopenia and Bone Fractures in a Man With Anorexia Nervosa and Hypogonadism
Nancy A. Rigotti, MD;
Robert M. Neer, MD;
Larry Jameson, MD, PhD
JAMA. 1986;256(3):385-388.
Abstract
Women with anorexia nervosa have reduced skeletal mass. Both anorexia and osteopenia are less common in men. We describe a 22-year-old man with anorexia nervosa and severe osteopenia involving both cortical and trabecular bone who developed a pelvic fracture and multiple vertebral compression fractures. He was found to have secondary hypogonadotropic hypogonadism that was reversible with weight gain. This case illustrates the need to consider osteopenia as a potential complication of anorexia nervosa in males as well as females.
(JAMA 1986;256:385-388)
Author Affiliations
From the General Medicine Unit (Dr Rigotti), the Mineral Metabolism Unit (Dr Neer), and the Laboratory of Molecular Endocrinology (Dr Jameson), Medical Service, Massachusetts General Hospital and Harvard Medical School, Boston.
Footnotes
Reprint requests to the Medical Practices Evaluation Unit, Massachusetts General Hospital, Boston, MA 02114 (Dr Rigotti).
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