PDF(Pubmed)
Abstract：
Herpetic whitlow is a localized cutaneous viral infection primarily affecting the fingers, caused by herpes simplex virus types 1 (HSV-1) or 2 (HSV-2). It can be recurrent due to behavioral factors associated with eating disorders, such as bulimia nervosa. We would like to introduce \"Jehany Sign,\" suggesting the term for the association of bulimia nervosa with HSV infections. Here, we present the case of a 50-year-old pre-diabetic female with recurrent herpetic whitlow on her left index finger associated with self-induced vomiting and extreme concern about her weight and body shape. Skin examination showed an eroded group of vesicles on an erythematous base on her left finger. The diagnosis was established through history and clinical examination. Upon follow-up, the patient showed complete resolution in one week after receiving topical and systemic acyclovir, which led to a subsequent referral to a psychiatrist for further management regarding bulimia nervosa. This case highlights the importance of a multidisciplinary approach and the complicated connections between eating disorders and dermatological diseases. Recognizing these allows healthcare providers to deliver more comprehensive care, improve patient outcomes, and further study in this area.
摘要：
疱疹性皮肤感染是一种主要影响手指的局部皮肤病毒感染，由单纯疱疹病毒1型（HSV-1）或2型（HSV-2）引起。由于与饮食失调相关的行为因素，它可以反复发作，比如神经性贪食症。我们想介绍\"Jehany标志，“建议神经性贪食症与HSV感染的关联术语。这里,我们介绍了一名50岁的糖尿病前期女性，她的左食指上反复出现疱疹性皮肤白斑，并伴有自我诱发的呕吐，对她的体重和体形极度关注。皮肤检查显示，她的左指红斑基部上有一组被侵蚀的囊泡。通过病史和临床检查确定诊断。在后续行动中，患者在接受局部和全身性阿昔洛韦治疗后一周内表现出完全消退，这导致随后转诊至精神科医生，以进一步治疗神经性贪食症。此案例强调了多学科方法的重要性以及饮食失调与皮肤病之间的复杂联系。认识到这些可以使医疗保健提供者提供更全面的护理，改善患者预后，并在这方面进一步研究。
