We document here the first case of bulimia nervosa associated with primary
hyperparathyroidism. The binge eating and self-induced vomiting that occurr
ed for more than 10 years disappeared completely after the surgical cure of
primary hyperparathyroidism. Depressive and anxiety symptoms also improved
dramatically. The possible influence of derangement in calcium metabolism
on the neurobiochemical mechanism of bulimia nervosa is discussed. (C) 1999
by John Wiley & Sons, Inc.