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.
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.
Quirk CM, Seykora J, Wingate BJ, Cotsarelis G. Acrodermatitis Enteropathica Associated With Anorexia Nervosa. JAMA. 2002;288(21):2655-2656. doi:10.1001/jama.288.21.2655