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Herpetic Whitlow Associated With an Eating Disorder: A Case Report
Fawaz H Aljehani1, Abdullah M Alharthi1, Amal W AlDoboke2
1Dermatology, King Abdulaziz Hospital, Makkah, SAU.
Cureus
|December 13, 2023
Summary
Herpetic whitlow, a finger infection from herpes simplex virus (HSV), can recur in patients with bulimia nervosa. This case introduces the "Jehany Sign" for this association, emphasizing a multidisciplinary approach.
Area of Science:
- Dermatology
- Infectious Diseases
- Psychiatry
Background:
- Herpetic whitlow is a common viral infection of the fingers caused by herpes simplex virus (HSV-1 or HSV-2).
- Recurrent herpetic whitlow can be linked to behavioral factors, including those seen in eating disorders like bulimia nervosa.
- The proposed "Jehany Sign" highlights the association between bulimia nervosa and HSV infections.
Observation:
- A case study of a 50-year-old pre-diabetic female with recurrent herpetic whitlow on her left index finger.
- The patient exhibited symptoms of bulimia nervosa, including self-induced vomiting and body image concerns.
- Clinical examination revealed an eroded group of vesicles on an erythematous base.
Findings:
- Diagnosis was confirmed through patient history and clinical presentation.
- Treatment with topical and systemic acyclovir resulted in complete resolution within one week.
- The patient was referred for psychiatric evaluation and management of bulimia nervosa.
Implications:
- This case underscores the critical link between eating disorders and dermatological conditions like herpetic whitlow.
- Highlights the necessity of a multidisciplinary healthcare approach for patients with comorbid conditions.
- Emphasizes the need for further research into the connection between bulimia nervosa and recurrent HSV infections.
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