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Generalized pruritus in anorexia nervosa

S Taniguchi1, N Yamamoto, T Kono

  • 1Department of Dermatology, Osaka City University Medical School, Japan.

The British Journal of Dermatology
|March 1, 1996
PubMed
Summary

Generalized pruritus and hypertrichosis can be cutaneous signs of anorexia nervosa. Psychotherapy effectively treated both weight loss and itching in a patient with these associated disorders.

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Area of Science:

  • Dermatology
  • Psychiatry
  • Internal Medicine

Background:

  • Anorexia nervosa is an eating disorder characterized by self-starvation and a distorted body image.
  • Cutaneous manifestations are common in patients with anorexia nervosa, but pruritus is not widely recognized.

Observation:

  • A 19-year-old woman presented with generalized pruritus, hypertrichosis, and anorexia nervosa.
  • These symptoms had been present for approximately 4 months prior to presentation.

Findings:

  • Psychotherapy was initiated, leading to significant weight gain in the patient.
  • Resolution of generalized pruritus was observed concurrently with weight restoration.

Implications:

  • Anorexia-associated pruritus may serve as an important cutaneous sign in the diagnosis of anorexia nervosa.
  • This case highlights the potential dermatological impact of psychiatric disorders and the benefits of integrated treatment approaches.

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