Prevalence of cutaneous manifestations in 200 patients with eating disorders

Glorio, Roberto; Allevato, Miguel; Pablo, Alicia de; Abbruzzese, Mario; Carmona, Loreto; Savarin, M; Ibarra, María Luísa Ramos; Busso, Corina; Mordoh, Ana; Llopis, Carolina; Haas, Roxana; Bello, Mercedes Castro; Woscoff, Alberto

doi:10.1046/j.1365-4362.2000.00924.x

Cited by 112 publications

(51 citation statements)

References 21 publications

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“…In accordance with the literature, xerosis, hair effluvium, acne, cheilitis, gingivitis, nail changes and acrocyanosis were the most frequently observed symptoms [2, 3, 5, 6, 7]. The pathogenetic mechanism responsible for the development of cutaneous signs in AN has been debated in many studies [9, 10, 11, 12, 13, 14, 15, 16].…”

Section: Discussionsupporting

confidence: 57%

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Skin Signs in Anorexia nervosa

et al. 2001

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Background: Eating disorders are becoming an epidemic in Europe, particularly among young women, but European studies concerning this topic are few. In eating disorders, significant medical complications occur in all of the primary human organ systems, including the skin. Objective: The purpose of this study was to improve the knowledge of skin signs in anorexia nervosa (AN) and verify whether cutaneous differences exist between the restrictive type and the bulimic type. Methods: A noncontrolled clinical study was performed in 24 consecutive patients with the restrictive and the bulimic types of AN in order to verify whether the cutaneous signs are different in the two types. The dermatological examination included the entire skin, oral cavity, hair and nails, with attention to skin pathologies prior to the development of AN. Results: In all the patients, the most frequent skin manifestations were xerosis (58.3%), hair effluvium (50%), nail changes (45.8%), cheilitis (41.6%), acne (41.6%), gingivitis (33.3%), acrocyanosis (29%), diffuse hypertrichosis (25%), carotenoderma (20.8%), generalized pruritus (16.6%), hyperpigmentation (12.5%), striae distensae (12.5%), factitial dermatitis, seborrheic dermatitis (8.3%), poor wound healing, melasma and Russell’s sign (4.1%). In the patients with the bulimic type of AN, hair effluvium, acne, gingivitis, nail changes and generalized pruritus were more frequent than in the patients with the restrictive type. Russell’s sign and seborrheic dermatitis were exclusively detected in the bulimic type. Hyperpigmentation, striae distensae, factitial dermatitis, poor wound healing and melasma were exclusively observed in the restrictive type. Cheilitis, diffuse hypertrichosis and carotenoderma were more represented in the restrictive type. Two patients with restrictive type of AN were followed up for a period of 3 years. In both, xerosis, cheilitis, acrocyanosis, hyperpigmentation and acne improved in relation to the increase in BMI. Hair effluvium and diffuse hypertrichosis appeared not to be linked to this parameter. Conclusion: Skin changes are prevalent among patients with AN. Some changes seem to depend on the type of AN or to be linked to the BMI.

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Section: Discussionsupporting

confidence: 57%

“…In eating disorders significant medical complications occur in all of the primary human organ systems, including the brain, the cardiovascular, the gastrointestinal, the neurological, the hematological, the endocrine, the musculoskeletal and integumentary systems [5, 6, 7, 8]. …”

Section: Introductionmentioning

confidence: 99%

Skin Signs in Anorexia nervosa

et al. 2001

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“…Eating disorders can also lead to hair loss. In a study, 67% of the patients with TE had bulimia, while 61% had anorexia nervosa [22].…”

Section: Chronic Telogen Effluviummentioning

confidence: 98%

Telogen Effluvium

Özlü¹,

Karadağ²

2017

Hair and Scalp Disorders

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Telogen effluvium (TE) is a noninflammatory disease characterized by diffuse loss of telogen hair. It is the most frequent cause of diffuse hair loss and the actual incidence of the disease is not known. According to the underlying etiology, TE could be physiologically and pathologically classified. The evaluation of a patient with TE includes a detailed history, physical examination, and laboratory tests. The patients should be questioned in terms of TE subtype, duration, and clinical course of hair loss. The most important point in the treatment of TE is to consult about the natural course of the disease.

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“…Hastalar genelde yeme bozukluklar›n› gizleme e¤iliminde olduklar›ndan dermatolo¤un flüphelendi¤i bir durumda bu rahats›zl›k aç›s›ndan ileri tetkik ve de¤erlendirmeye gitmesi uygundur. Kilo al›m› ve yemenin normale dönmesi ile deri belirtilerinin büyük k›sm› ortadan kalkmakla beraber devam eden belirtiler için dermatolojik de¤erlendirme ve tedavi önemlidir 33,34 .…”

Section: Yeme Bozukluklar›unclassified

Other Psychiatric Problems, Can be Seen in Dermatological Diseases

Mercan¹

2010

turkderm

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36 GiriflDermatoloji hastalar›nda s›kl›kla görülen depresyon, anksiyete bozuklu¤u ve psikotik bozukluklar d›fl›nda kiflilik bozukluklar›, alkol madde ba¤›ml›l›¤›, yeme bozukluklar›, cinsel ifllev bozukluklar› gibi di¤er psikiyatrik tablolar da dikkatimizi çekmektedir. Bu konuda yap›lan araflt›rmalar az say›da olmakla beraber dermatoloji hastalar›nda görülen di¤er psikiyatrik tablolar› anlamak bak›m›ndan oldukça yard›mc›d›r. Deri ve CinsellikDeri görme ve dokunma duyular› ile iliflkili olarak cinsel arzunun bafllad›¤› ve yay›ld›¤› organd›r. Do¤umdan itibaren psikolojik geliflim dönemlerine denk düflecek flekilde derinin farkl› bölgeleri cinsel organ gibi hareket ederek haz kayna¤› olmaktad›r. ‹lk bir yaflta bu bölge a¤›z ve çevresi iken 2-3 yaflta anal bölge daha sonra da genital bölge olmaktad›r. Freud'a göre bebe¤in ve çocu¤un libidinal yat›r›m› gör-sel ya da dokunsal olabilir. Bu yat›r›m cinsel uyar›lmay› da bafllat›r. Deri ile ilgili cinsel problemler de dokunma libidosu ya da görme libidosundaki sorunla ilgili olabilir 1 . Freud derinin haz kayna¤› olma özelli¤inden yola ç›ka-rak çocukluk travmalar›n›n yafland›¤› döneme denk gelen deri bölgelerine ve bu bölgelerin ifllevlerine fiksasyondan bahsetmifltir. Oral dönemde ana haz bölgesi a¤›z ve haz kayna¤› annenin memesidir. Anal dönem-de anal bölge haz bölgesi olmakta sfinkter kontrolu ve Y Ya az z› ›fl flm ma a A Ad dr re es si i/ /A Ad dd dr re es ss s f fo or r C Co or rr re es sp po on nd de en nc ce e: : Dr. Sibel Mercan, fiiflli Etfal E¤itim ve Araflt›rma Hastanesi, Psikiyatri Klini¤i, ‹stanbul, Türkiye E-posta: sibelmerc@yahoo.com.tr ÖzetDermatolojik hastal›klarda kiflilik bozukluklar›, ba¤›ml›l›klar, cinsel ifllev bozukluklar› gibi di¤er psikiyatrik bozukluklar da s›kl›kla dikkatimizi çekmektedir. S›n›r kiflilik bozuklu¤u, alkol madde ba¤›ml›l›¤›, yeme bozuklu¤u gibi psikiyatrik hastal›¤› olanlarda artefakt dermatiti gibi deriye zarar verme davran›fl› görülebilir ya da sigara, alkol gibi ba¤›ml›l›k yapan maddeler deride hasar ortaya ç›kar›r. Derinin cinsellikle yak›n iliflkisi vard›r. Dermatolojik hastalarda cinsel ifllev bozukluklar›na dikkat etmek gerekir. (Türkderm 2010; 44 Özel Say› 1: 36-40) Anahtar Kelimeler: Ba¤›ml›l›k, cinsel ifllev bozuklu¤u, sigara ba¤›ml›l›¤›, alkol, yeme bozuklu¤u SummaryBorderline personality disorder, addictions, sexual dysfunction disorder and eating disorders are other psychiatric problems which can been seen by dermatological illnesses. Borderline personality disorder, alcohol or drug addiction or eating disorder patients may give harm to their skin as dermatitis artefacta or smoking and alcohol may give harm to skin with direct toxic effect. There is close relationship between skin and sexuality. Sexual dysfunctions in dermatological patients should be evaluated carefully. (Turkderm 2010; 44 Suppl 1: 36-40)

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Prevalence of cutaneous manifestations in 200 patients with eating disorders

Abstract: The recognition of dermatologic signs could be of immense value and could lead to the early diagnosis and treatment of these eating disorders.

Cited by 112 publications

References 21 publications

Skin Signs in Anorexia nervosa

Skin Signs in Anorexia nervosa

Telogen Effluvium

Other Psychiatric Problems, Can be Seen in Dermatological Diseases

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