APHP, Hôpital Cochin, Maison de Solenn, 75014, Paris, France.
Université de Paris, PCPP, 92100, Boulogne-Billancourt, France.
Eat Weight Disord. 2022 Apr;27(3):1229-1233. doi: 10.1007/s40519-021-01255-9. Epub 2021 Jun 24.
We describe the case of a severe skin ulcer of the heel in an adolescent girl hospitalised for anorexia nervosa (AN) associated with a severe excessive exercise.
This case report includes retrospective anamnestic and clinical data from the patient's medical record. A literature review was conducted on the dermatological changes described in AN.
Severe starving syndrome in AN due to intake restriction and pathological associated behaviours can cause serious somatic complications, including psycho-dermatological lesions. We describe a rare case of a nondiabetic plantar "mal perforant" resulting from multiple risk factors including prolonged undernutrition, excessive exercise, and significant psychiatric comorbidity with self-injury. We suggest that, in this context, one should include a particular attention to the risk of non-visible skin complications reflecting both the AN symptoms severity and the severity of the patient's psychological distress requiring individualised and specialised multidisciplinary approach.
Level V, case report.
我们描述了一例因神经性厌食症（AN）住院的青少年女孩的严重足跟部皮肤溃疡，该患者伴有严重的过度运动。
本病例报告包括患者病历中的回顾性病史和临床数据。对 AN 中描述的皮肤病变化进行了文献复习。
由于摄入限制和与疾病相关的行为，AN 中的严重饥饿综合征会导致严重的躯体并发症，包括精神皮肤病损。我们描述了一例罕见的非糖尿病性足底“穿孔样溃疡”，其发生的原因有多个，包括长期营养不良、过度运动以及伴有自伤行为的严重精神共病。我们建议，在这种情况下，应特别注意非可见性皮肤并发症的风险，这些并发症既反映了 AN 症状的严重程度，也反映了患者心理困扰的严重程度，需要个体化和专门的多学科方法。
五级，病例报告。
