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January 1986

Hand Lesions Characteristic of Bulimia

Author Affiliations

From the Divisions of General Pediatrics (Dr Williams) and Adolescent Medicine (Dr Friedman), Department of Pediatrics, and the Division of Child Psychiatry and Child Development, Department of Psychiatry and Behavioral Sciences (Dr Steiner), Stanford (Calif) University School of Medicine.

Am J Dis Child. 1986;140(1):28-29. doi:10.1001/archpedi.1986.02140150030025

• 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.

(AJDC 1986;140:28-29)

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