Bigorexia - an unusual diagnosis in female

Bigorexia is a body dysmorphic disorder observed almost exclusively in males.It is characterized by an excessive preoccupation with the body, wherein the individual believes their body forms are too small and experiences repetitive thoughts about exercising to increase muscle mass.We present a case of a 16-year-old female who was referred due to suspicion of an eating disorder.Upon evaluation, we observed body image distortion, an obsession with physical activity and a strict dietary regimen aimed at enhancing muscle mass.This interfered with both school and family life.She did not perceive herself as overweight but expressed dissatisfaction with her body, despite having muscle hypertrophy.A diagnosis of bigorexia was established and she showed improvement through cognitive-behavioral therapy and the use of antidepressants.Although bigorexia is relatively rare in females, healthcare professionals should be aware of this condition to provide early intervention.