Hand lesions characteristic of bulimia.
Bulimia is a serious and prevalent eating disorder in the adolescent population. The pediatrician is often in a position to make the initial diagnosis of bulimia but must suspect the disorder in light of subtle physical evidence. Denial and embarrassment reduce the likelihood of self-report of symptoms. Hand lesions resulting from self-induced emesis have a distinctive configuration and appearance. Noting these characteristic lesions during a physical examination should alert a physician to the diagnosis of bulimia or to an exacerbation of symptoms in a patient whose condition was previously diagnosed.
Williams
J F
JF
Friedman
I M
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Steiner
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D000293:Adolescent; D002145:Callosities / Q000209:etiology*; D001068:Feeding and Eating Disorders / Q000175:diagnosis*; D005260:Female; D006230:Hand Injuries / Q000209:etiology*; D006801:Humans; D006963:Hyperphagia / Q000175:diagnosis*; D010808:Physical Examination; D014839:Vomiting