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Acrodermatitis Enteropathica Associated With Anorexia Nervosa
Catherine M. Quirk, MD;
John Seykora, MD, PhD;
Barbara J. Wingate, MD;
George Cotsarelis, MD
JAMA. 2002;288:2655-2656.
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A 27-year-old woman presented with blistering lesions on her hands, feet, and perioral area. The lesions had manifested more than 1 week before her visit. She said that her hair had become brittle and lighter in color and was shedding. She said that she had not used any medications before onset of the skin lesions. When the plantar bullae progressed to the point of interfering with her walking, she sought medical attention. The patient had a long history of restrictive eating patterns and nightly self-induced vomiting. She also reported a recent history of diarrhea and intermittent amenorrhea.
On physical examination, the patient was a thin woman with a body mass index of 17.5 (calculated as weight in kilograms divided by the square of height in meters; reference range for healthy adults, 18.5 to 24.91). . . . [Full Text of this Article]
Author Affiliations: Department of Dermatology, Brown University, Providence, RI (Dr Quirk); and Departments of Dermatology (Drs Cotsarelis and Seykora) and Psychiatry (Dr Wingate), Hospital of the University of Pennsylvania, Philadelphia. Dr Wingate is now in private practice in Newtown, Pa.
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