Related Experiment Video
Updated: Nov 1, 2025

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
Published on: March 1, 2024
Severe nondiabetic plantar mal perforant in an adolescent girl with anorexia nervosa
C Rezakhany1, S B Guessoum1,2,3, M R Moro1,2,3
1APHP, Hôpital Cochin, Maison de Solenn, 75014, Paris, France.
Purpose:
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.
Methods:
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.
Conclusion:
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 Of Evidence:
Level V, case report.
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