2005 suplement 1

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Volume 14, suplement 1

Case report

A particular picture of body experience disorder in a young man

Krzysztof Czuma1, DOROTA ORŁOWSKA1
1. II Oddziału Psychiatrycznego Szpitala - Centrum Psychiatrii SPZOZ w Katowicach
Postępy Psychiatrii i Neurologii 2005; 14 (supl. 1/20): 55-106
Keywords: body experience disorder, muscle dysmorphia

Abstract

Objective. Another variation of a non-psychotic body experience disorder - in addition to anorexia and dysmorphophobia - is presented. The variation seen in young men committed to body building consists in a belief that neither the strength nor size cf their muscles are sufficient.

Case. A men aged 28, engaged in body building for years, supported his efforts with anabolics. Discontinuation of anabolics resulted in a body mass reduction. Although his body build was still average, the patient was worrying about its being meagre, felt his muscles were atrophied, and was convinced he ate too little. In consequence of treatment he accepted his appearance and gave up body building exercises.

Commentary. The patient's symptoms resemble anorexia nervosa, but are an opposite of this disorder The reported disorder is described in the literature as muscle dysmorphia. Since massive musculature is a fad among young men, it may lead to a rise in the incidence of this disorder.

Address for correspondence:
Dr Krzysztof Czuma, II Oddział Psychiatryczny Szpitala - Centrum Psychiatrii Samodzielnego Publicznego Zakładu Opieki Zdrowotnej, ul. Korczaka 27, 40-340 Katowice