In 2013, revised guidelines were published on eating disorders with the introduction of a newly classified eating disorder diagnosis called “avoidant/restrictive food intake disorder” (ARFID) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
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We present three cases to introduce and exemplify the clinical characteristics of ARFID.
A 15-year-old boy presents to an adolescent medicine eating disorder clinic after referral from his gastroenterologist for long-standing malnutrition and a BMI less than the 5th percentile for all of his life. He has a diagnosis of autism spectrum disorder and learning disability.
A 9-year-old girl presents to the eating disorder clinic with a history of restrictive eating due to a “fear of choking.” The parents and the child said that 4 months ago she had an episode of choking while eating ice cream. Since then, the child started to obsessively worry...
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