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Fillings that project above the surface of the teeth
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bulimia
    Discussion -- not available online[Top] [Nav]
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  • Original description and color photos of the Russell sign. [101]
  • Describes a "new" physical sign of bulimia, which is exactly the Russell sign. Photo. (Letters in Mayo Clin Proc 1985;60:50 point out the authors' error.) [102]
  • Reviewed in N Engl J Med 20 April 1989. [104]
  • The pH of sports drinks tested (in England) ranged from 2.38 to 4.46, and contained significant amounts of titratable acid. [105]
  • A 7 year old boy lost dental enamel while taking cholestyramine, similar to that of the classic bulimic pattern. Because exposure to gastric acid destroys enamel in bulimic persons, the authors examined the way the boy took his medication. He took his cholestyramine mixed in Kool-Aid. Kool-Aid has a pH of 2.9 after water is added. Adding cholestyramine decreases the pH to 2.4. [106]
    Footnotes in Print Edition[Top] [Nav]
    (1) Medical complications and medical management of bulimia.
  Mitchell JE, Seim HC, et al.   Ann Intern Med 1987 Jul;107(1):71-7.  Pubmed+Abstract  Similars
    (2) Oral signs of frequent vomiting in anorexia.
  Peterson DS, Barkmeier WW.   Am Fam Physician 1983 Apr;27(4):199-200.  Pubmed  Similars
    New References[Top] [Nav]
Bulimia
    101.Bulimia nervosa: an ominous variant of anorexia nervosa.
  Russell G.   Psychol Med 1979 Aug;9(3):429-48.  Pubmed+Abstract  Similars
    102.A physical sign of bulimia [letter].
  Wynn DR, Martin MJ.   Mayo Clin Proc 1984 Oct;59(10):722.  Pubmed  Similars
    103.Bulimia Nervosa.
  Mitchell J. Minneapolis: University of Minnesota Press, 1990: 174 pp.
    104.Bulimia: Psychoanalytic Treatment and Theory.
  Schwartz H. Madison, CT: International Universities Press, 1988: 549 pp.   Amazon.com
Other causes of enamel loss
    105.Sports drinks hazard to teeth [see comments].
  Milosevic A.   Br J Sports Med 1997 Mar;31(1):28-30.  Pubmed+Abstract  Similars
    106.Loss of dental enamel in a patient taking cholestyramine.
  Curtis DM, Driscoll DJ, et al.   Mayo Clin Proc 1991 Nov;66(11):1131.  Pubmed+Abstract  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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