Eating disorders can affect every organ system. patients with mild cases usually present with nonspecific symptoms such as asthenia, cold intolerance, lack of energy, or dizziness. Children and adolescents are at particular risk due to their active phase of growth and development. The physical examination may be normal in the early stages or in mild cases. Patients with moderate to severe anorexia have the following physical characteristics:
• Patient is emaciated and bundled in clothing.
• Skin is dry and has excessive growth of lanugo. Skin may also be yellow-tinged from carotenodermia.
• Brittle nails, thinning scalp hair are present.
• Bradycardia, hypotension, hypothermia, and bradypnea are common.
• Female fat distribution pattern is no longer evident.
• Axillary and pubic hair is preserved.
• Peripheral edema may be present.