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Updated: Sep 23, 2025

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
Published on: May 10, 2022
Striae distensae as a diagnostic indicator for eating disorder pathologies
Vixey Silva1, Casey P Schukow2, Carolina B A Restini1,3
1Michigan State University, College of Osteopathic Medicine, Macomb University Center, Clinton, Michigan, USA.
Patients with eating disorders (EDs) may present with striae distensae (SD), a skin condition linked to anxiety, depression, and lower self-esteem. Further evaluation of SD is crucial for identifying underlying EDs.
Area of Science:
- Dermatology
- Psychiatry
- Mental Health
Background:
- Eating disorders (EDs) encompass anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED).
- Skin manifestations are recognized indicators for potential EDs.
- Striae distensae (SD) is an under-researched skin finding associated with EDs, impacting quality of life.
Purpose of the Study:
- To review the relationship between underlying eating disorders (EDs) and the presence of striae distensae (SD).
- To highlight the significance of SD as a potential indicator for EDs.
Main Methods:
- A systematic literature review was conducted using online medical databases.
- PRISMA guidelines were followed for article selection.
- 11 articles were analyzed out of 574, indicating limited current research.
Main Results:
- Striae distensae (SD) in patients with EDs were associated with comorbidities like anxiety and depression.
- Obesity, secondary to binge eating disorder (BED), was linked to SD.
- Patients with SD and EDs reported higher suicidal ideation, insomnia, and lower self-esteem.
Conclusions:
- The presence of striae distensae (SD) warrants further evaluation for underlying eating disorders (EDs).
- SD's impact on patient mental health underscores the importance of continued assessment.
- Recognizing SD as a potential sign of EDs is crucial for comprehensive patient care.
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