Physical Examination

The profound weight loss and cadaveric appearance contrast with the patient's increased physical activity. While hospitalized, if allowed, these patients try to perform some of the nursing chores or even to counsel other patients. Many patients exercise secretly in their rooms and jog or go for long walks when not supervised.

Pubic and axillary hair is preserved, and there is an increase in light, thin hair ('peach fuzz') on the face and neck, back, arms, and thighs (lanugo hair). Patients have low body temperature and poor tolerance to cold exposure because of their malnutrition-induced lowered metabolic rate and the loss of insulation of the diminished subcutaneous tissue. Layers of clothing tend to hide their cachectic appearance. Bradycardia and hypotension are common and secondary to decreased sympathetic drive due to malnutrition.

The skin is dry and has a peculiar bluish erythema over the knuckles and knees. Orange-yellow discoloration of the skin (carotinodermia), seen in palms and soles, is frequently found. It is caused, at least in part, by an increased intake of vegetables, since it may also be seen among vegetarians.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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