Chewing and spitting (CHSP) is the symptom of chewing and spitting out food without swallowing. CHSP is fairy common among patients with eating disorders, but no report has been published on drug treatment for it. We report a patient with anorexia nervosa showing extreme weight loss due to CHSP. After admission, CHSP was improved by treatment with Selective Serotonin Reuptake Inhibitors, leading to marked recovery of the body weight. CHSP may represent a marker for illness severity, so its early treatment is critical to prevent the increasing severity of eating disorders.
<Authors' abstract>
A Case of Anorexia Nervosa with Chewing and Spitting Improved by Treatment with Selective Serotonin Reuptake Inhibitors
1 Misumi Hospital Psychiatry
2 Division of Neuropsychiatry, Yamaguchi University Hospital
2 Division of Neuropsychiatry, Yamaguchi University Hospital
Psychiatria et Neurologia Japonica
117: 327-332, 2015
Accepted in revised form: 22 December 2014.
Accepted in revised form: 22 December 2014.
＜Keywords：anorexia nervosa, chewing and spitting, obsessive-compulsive disorder, SSRI＞
