<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-1523</journal-id>
<journal-title><![CDATA[Revista mexicana de trastornos alimentarios]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Mex. de trastor. aliment]]></abbrev-journal-title>
<issn>2007-1523</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Estudios Superiores Iztacala]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-15232017000200185</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Anorexia nerviosa secundaria a un trastorno obsesivo-compulsivo con síntomas de escrupulosidad predominante en un hombre adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Anorexia nervosa secondary to an obsessive-compulsive disorder in an adult man with predominant symptoms of scrupulosity]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granja Mesa]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Muñoz]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gempeler Rueda]]></surname>
<given-names><![CDATA[Juanita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Guarín]]></surname>
<given-names><![CDATA[Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribero Salazar]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,EQUILIBRIO: Programa integral para trastornos de alimentación, afectivos y de ansiedad  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana Facultad de Medicina Departamento de Psiquiatría]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>8</volume>
<numero>2</numero>
<fpage>185</fpage>
<lpage>192</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-15232017000200185&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-15232017000200185&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-15232017000200185&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso clínico de un paciente joven adulto de sexo masculino, con diagnóstico de trastorno obsesivo-compulsivo (TOC), cuya sintomatología principal radica en las ideas obsesivas y los rituales de contenido religioso (escrupulosidad), que le conducen al ayuno, la restricción de la ingesta y la pérdida significativa de peso (índice de masa corporal [IMC] inicial de 17.1). Se discute la existencia de anorexia nerviosa secundaria al TOC, las relaciones descritas entre ambas patologías, la importancia del diagnóstico dual en este caso, y las particularidades y los retos de la intervención desde las técnicas de exposición y prevención de respuesta de la terapia cognitivo-conductual. Tras 20 semanas de tratamiento, los resultados evidencian la efectividad de la intervención propuesta, con disminución significativa (48%) de los síntomas obsesivos-compulsivos, de acuerdo con la Escala Yale-Brown para Trastorno Obsesivo-Compulsivo, y la recuperación nutricional, alcanzando un peso acorde a su estatura y edad (IMC = 22.3). Se concluye que, en casos como el descrito, se impone la necesidad de trabajar tanto los síntomas alimentarios como los obsesivos de manera simultánea, con base en un tratamiento con enfoque multimodal y multidisciplinario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract It is described the clinical case of a young adult male patient with obsessive-compulsive disorder (OCD) diagnosis, whose main symptomatology lies in obsessive ideas and religious rituals (scrupulosity), aimed at fasting, restricting food intake and losing significant weight (initial body mass index [BMI] of 17.1). We discuss the presence of anorexia nervosa secondary to OCD, it is described the relationships between the two pathologies, the relevance of the dual diagnosis in this case, and the particularities and the challenges of the intervention from the exposure techniques to the prevention response of the cognitive behavioral therapy. After 20 weeks of treatment, the results show the effectiveness of the intervention, with a significant decrease (48%) in obsessive-compulsive symptoms, according to the Yale-Brown Obsessive-Compulsive Scale, and nutritional recovery, reaching a body weight according to his height and age (BMI = 22.3). It is concluded that, in cases such as the one described, there is the need to work both the eating and obsessive symptoms simultaneously, based on a treatment with multimodal and multidisciplinary approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Anorexia nerviosa]]></kwd>
<kwd lng="es"><![CDATA[Trastorno obsesivo-compulsivo]]></kwd>
<kwd lng="es"><![CDATA[Escrupulosidad]]></kwd>
<kwd lng="es"><![CDATA[Terapia cognitivo-conductual]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento]]></kwd>
<kwd lng="en"><![CDATA[Anorexia nervosa]]></kwd>
<kwd lng="en"><![CDATA[Obsessive-compulsive disorder]]></kwd>
<kwd lng="en"><![CDATA[Scrupulosity]]></kwd>
<kwd lng="en"><![CDATA[Cognitive-behavioral therapy]]></kwd>
<kwd lng="en"><![CDATA[Treatment]]></kwd>
</kwd-group>
</article-meta>
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