Abstract
Eating disorders (EDs) such as anorexia nervosa and bulimia nervosa have a plethora
of skin manifestations. They can be categorized into skin signs of self-purging, skin
signs of starvation, skin signs related to drug abuse, skin signs of psychiatric comorbidity,
and miscellaneous signs. “Guiding signs” are valuable, because they are pointers to
the diagnosis of an ED. They include hypertrichosis (lanugo-like hair), Russell's
sign (knuckle calluses), self-induced dermatitis, and perimylolysis (tooth enamel
erosion). Practitioners should recognize such skin signs promptly, as this helps to
diagnose early which may improve the prognosis of ED. Management requires a multidisciplinary
approach that focuses on psychotherapy combined with attention to medical complications,
nutritional needs, and such non-psychiatric findings such as cutaneous manifestations.
Psychotropic medications that are currently used in EDs include pimozide and atypical
antipsychotic agents, such as aripiprazole and olanzapine, fluoxetine, and lisdexamfetamine.
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Article info
Publication history
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In Press Accepted ManuscriptFootnotes
Conflicts of Interest: The authors declare no conflicts of interest.
Funding: This research received no funding.
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