Ms. Zhang and Dr. Shields are from the Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison. Dr. Slaven is from the Department of Psychiatry and Behavioral Health, George Washington University and Eating Recovery Center, Washington, DC.
Cutis. 2023 May;111(5):231-238. doi: 10.12788/cutis.0765.
Patients with eating disorders (EDs) frequently experience malnutrition that may lead to nutritional dermatoses. Effects of malnutrition and starvation on the skin may include xerosis, lanugo, pruritus, acrocyanosis, carotenoderma, telogen effluvium, and other hair and mucosal findings. Although these dermatologic sequelae often are reported among patients with EDs, the pathomechanisms of these cutaneous symptoms are poorly understood. This article reviews the existing literature on nutritional dermatoses to clarify visible signs that should heighten clinical suspicion for an underlying ED. The skin may present the first visible signs of an otherwise occult ED diagnosis, offering the dermatologist a special opportunity for early diagnosis and coordination with a multidisciplinary team for ED treatment.
患有进食障碍 (ED) 的患者经常会出现营养不良，可能导致营养性皮肤病。营养不良和饥饿对皮肤的影响可能包括皮肤干燥、毫毛、瘙痒、肢端发绀、胡萝卜素血症、休止期脱发和其他毛发和黏膜表现。尽管这些皮肤后遗症经常在 ED 患者中报告，但这些皮肤症状的发病机制尚不清楚。本文回顾了有关营养性皮肤病的现有文献，以阐明应提高对潜在 ED 临床怀疑的可见迹象。皮肤可能是隐匿性 ED 诊断的第一个可见迹象，为皮肤科医生提供了早期诊断和与多学科团队合作治疗 ED 的特殊机会。
