BULIMIA NERVOSA INDIRECT SIGNS IN PATIENTS WITH DIABETIC DECOMPENSATION. CASE REPORT

A case of a diabetic patient of 32 years with uncontrolled hyperglycemia refractory to usual antidiabetic treatment whose diagnosis of bulimia nervosa is achieved by indirect clinical signs of the disorder at the time required multiple dental extractions is presented. First, the psychopathology of this eating disorder is explained. Second, the clinical signs of bulimia nervosa and its functional implications and, thirdly, the clinical case are explained. The purpose of this article is to present the diagnostic difficulties of this eating disorder because of the refusal of patients recognize their illness or lack of awareness of it. This sometimes causes the diagnosis is performed by the presence or indirect signs and symptoms of the disease consequential.