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Sir: We read with special interest the article by Surman et al.1 In their analysis of 4 previous case-control studies, the authors found significantly higher rates of bulimia nervosa in women with attention-deficit/hyperactivity disorder (ADHD) versus women without. As stated by the authors, this finding may have important implications for the clinical management of patients with ADHD and bulimia nervosa. We would like to discuss another potentially interesting finding that might come from the data collected in the reviewed studies.1