糖尿病治療にコンプライアンス不良を示す神経性大食症例

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  • トウニョウビョウ チリョウ ニ コンプライアンス フリョウ オ シメス シンケイセイ タイショク ショウレイ
  • A case of bulimia nervosa associated with poor treatment compliance for diabetes mellitus
  • 糖尿病を合併した神経性大食症例

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A 17-year old girl of bulimia nervosa with diabetes mellitus was reported. Family history showed that the quarrel occurred frequently between father and mother, and elder sister suffered from anorexia nervosa. She have lived with father after divorce of her parents, and begun to vomit after overeating. She has suffered from diabetes mellitus after 1 year of divorce, but has been noted to have poor compliance for glycemic control. The development of interpersonal confidence and identification was impaired through the reciprocal interaction within the family. She was exhausted from the inability to expression of emotion, sensation and thoughts in her school life and stay away from school. The disturbance of interfamilial relation resulted in the impaired development of identification may lead to poor treatment compliance for diabetes mellitus.

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