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We reviewed systematically records of 47 adolescents who fulfilled criteria for ICD\u201010 F50.0 (<jats:italic>n<\/jats:italic>\u2009=\u200934) or F50.1 (<jats:italic>n<\/jats:italic>\u2009=\u200913), assessing the impact of diagnostic subtype, comorbidity, background factors and treatment choices on recovery. Atypical AN patients were significantly older (<jats:italic>p<\/jats:italic>\u2009=\u20090.03), heavier (minimum body mass index 16.7 vs 15.1\u2009kg\/m<jats:sup>2<\/jats:sup>, <jats:italic>p<\/jats:italic>\u2009=\u20090.003) and less prone to comorbidities (38% vs 71%, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) and had shorter, less intensive and less costly treatments than typical AN patients. The diagnosis of typical versus atypical AN was the sole significant predictor of treatment success: recovery from atypical AN was 4.3 times (95% confidence interval [1.1, 17.5]) as likely as recovery from typical AN. Overall, our findings indicate that a broader definition of AN may dilute the prognostic value of the diagnosis, and therefore, ICD\u201011 should retain its distinction between typical and atypical AN. 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