Also see Bulimia
and Anorexia in males
Andersen and Mickalide  noted that
21 percent of male patients who were referred to Johns
Hopkins eating disorders clinic had an eating disturbance
with weight loss or abnormal eating patterns in the
absence of criteria of DSM-III anorexia nervosa.
One group had a swallowing phobia (fear
of choking) with significant weight loss, previously
misdiagnosed as anorexia nervosa. An earlier choking
episode (often vaguely recalled) and a second, more
recent choking episode resulted in a sustained fear
of choking associated with severe dietary restriction
of solid food. (Blinder  noted that this syndrome
may be a variant of anorexia occurring in a post-traumatic
context; he found patients who exhibited similar fears
after mouth injury or dental surgery. Choking and aspiration
associated with a rare chronic ruminatory disorder,
may also lead to food restriction ).
Andersen and Michalide  also noted
patients who had a classic panic disorder with an associated
preoccupation with fears of public vomiting, leading
to food restriction and diminished weight. In contrast,
a patient with general anxiety had specific overeating
episodes unassociated with the fear of obesity .
These atypical eating disorders may
be defined as a mild form of anorexia and are differentiated
from anorexia nervosa since full DSM-III criteria for
anorexia nervosa are not present.