Case 18-1985

Presentation of Case An 18-year-old man was admitted to the hospital because of abdominal pain and an eating disorder. He was well until six years earlier, when he began to notice a persistent sore throat and dysphagia. He was admitted to another hospital, where he was transferred to the psychiatric unit because of a "psychogenic" problem. After three months the sore throat disappeared, but he began to have occasional mild epigastric pain and vomiting after eating solid food and thereafter limited his food intake to liquids. After seven months in the psychiatric unit he was discharged. During the next five . . .