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This chapter focuses on diagnostic, classification and presentation issues in relation to children and adolescents with anorexia nervosa (AN). The two diagnostic systems most commonly used throughout the world are those drawn up by the American Psychiatric Association and the World Health Organization's ICD-10. AN is seen in clinical settings in children from around the age of 8 years upwards, and occurs in boys and girls. Although the clinical features, and even the physical appearance of such young people when they are in an emaciated state, bear strong similarities, each young person's illness will be related to a unique pattern of traits, circumstances and triggers. AN remains a serious illness that can develop in children before puberty, and can have devastating effects. We need to continue to improve our means of identifying and describing this disorder so that we can conduct the research needed to inform and improve available treatment.
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