Abstract • 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) References 1. Pope HG, Hudson JI, Yurgelum-Todd D: Anorexia nervosa and bulimia among 300 suburban women shoppers . Am J Psychiatry 1984;141: 292-294. 2. Diagnostic and Statistical Manual of Mental Disorders , ed 3. Washington, DC, American Psychiatric Press Inc, 1980, pp 69-76. 3. Garner DM, Garfinkel PE, O'Shaughnessy M: The validity of the distinction between bulimia with and without anorexia nervosa . Am J Psychiatry 1985;142:581-587. 4. Fairburn CG, Cooper PJ: Self-induced vomiting and bulimia nervosa: An undetected problem . Br Med J 1982;284:1153-1155.Crossref 5. Russell G: Bulimia nervosa: An ominous variant of anorexia nervosa . Psychol Med 1979;9:429-448.Crossref 6. Wynn DR, Martin MJ: A physical sign of bulimia . Mayo Clin Proc 1984;59:722.Crossref 7. Joseph AB, Herr B: Finger calluses in bulimia . Am J Psychiatry 1985;142:655.
American Journal of Diseases of Children – American Medical Association
Published: Jan 1, 1986