Russell's sign, named after British psychiatrist Gerald Russell, is a sign[1] defined as calluses on the knuckles[2] or back of the hand due to repeated self-induced vomiting over long periods of time. The condition generally arises from the patient's knuckles making contact with the incisor teeth during the act of inducing the gag reflex at the back of the throat with their finger(s).[3]
Russell's sign
Causes
The most common causes of Russell’s Sign are bulimia and anorexia nervosa.
indirect sign of bulimia nervosa or anorexia nervosa
Deaths
While Russell’s sign in of itself has not caused any deaths, it is a sign of potentially deadly disorders such as bulimia nervosa and anorexia nervosa.
This type of scarring is considered one of the physical indicators of a mental illness, and Russell's sign is primarily found in patients with an eating disorder such as bulimia nervosa or anorexia nervosa. It is almost always associated with eating disorders and is the most characteristic skin condition indicative of purging.[2][4]
Bulimics who are capable of "handsfree purging", or the induction of vomiting by the willful opening of the esophageal sphincter in a manner similar to belching, while contracting the stomach muscles, do not have Russell's sign.
Referencesedit
^Tyler I, Birmingham CL (November 2001). "The interrater reliability of physical signs in patients with eating disorders". Int J Eat Disord. 30 (3): 343–5. doi:10.1002/eat.1094. PMID 11767717.
^ abStrumia R (2005). "Dermatologic signs in patients with eating disorders". Am J Clin Dermatol. 6 (3): 165–73. doi:10.2165/00128071-200506030-00003. PMID 15943493. S2CID 42761798. Archived from the original on 2013-02-09.
^Glorio, Roberto; Allevato, Miguel; De Pablo, Ana; Abbruzzese, Mario; Carmona, Luz; Savarin, Mario; Ibarra, Monica; Busso, Corina; Mordoh, Ana; Llopis, Carolina; Haas, Roxana; Bello, Mabel; Woscoff, Alberto (2000). "Prevalence of cutaneous manifestations in 200 patients with eating disorders". International Journal of Dermatology. 39 (5): 348–353. doi:10.1046/j.1365-4362.2000.00924.x. ISSN 0011-9059. PMID 10849124.
^Manoharan, Senthil Vel Rajan Rajaram; Behere, Rishikesh V.; Praharaj, Samir Kumar; Kongasseri, Sreejayan; Sharma, P.S.V.N. (2014). "Russell's Sign in Persistent Delusional Disorder: A Case Report". The Journal of Neuropsychiatry and Clinical Neurosciences. 26 (3): E4–E5. doi:10.1176/appi.neuropsych.13060127. PMID 25093783.
This medical sign article is a stub. You can help Wikipedia by expanding it.
russell, sign, named, after, british, psychiatrist, gerald, russell, sign, defined, calluses, knuckles, back, hand, repeated, self, induced, vomiting, over, long, periods, time, condition, generally, arises, from, patient, knuckles, making, contact, with, inci. Russell s sign named after British psychiatrist Gerald Russell is a sign 1 defined as calluses on the knuckles 2 or back of the hand due to repeated self induced vomiting over long periods of time The condition generally arises from the patient s knuckles making contact with the incisor teeth during the act of inducing the gag reflex at the back of the throat with their finger s 3 Russell s signCausesThe most common causes of Russell s Sign are bulimia and anorexia nervosa Diagnostic methodRussell s Sign can be used as a factor to diagnose bulimia nervosa or anorexia nervosaDifferential diagnosisindirect sign of bulimia nervosa or anorexia nervosaDeathsWhile Russell s sign in of itself has not caused any deaths it is a sign of potentially deadly disorders such as bulimia nervosa and anorexia nervosa This type of scarring is considered one of the physical indicators of a mental illness and Russell s sign is primarily found in patients with an eating disorder such as bulimia nervosa or anorexia nervosa It is almost always associated with eating disorders and is the most characteristic skin condition indicative of purging 2 4 Bulimics who are capable of handsfree purging or the induction of vomiting by the willful opening of the esophageal sphincter in a manner similar to belching while contracting the stomach muscles do not have Russell s sign References edit Tyler I Birmingham CL November 2001 The interrater reliability of physical signs in patients with eating disorders Int J Eat Disord 30 3 343 5 doi 10 1002 eat 1094 PMID 11767717 a b Strumia R 2005 Dermatologic signs in patients with eating disorders Am J Clin Dermatol 6 3 165 73 doi 10 2165 00128071 200506030 00003 PMID 15943493 S2CID 42761798 Archived from the original on 2013 02 09 Glorio Roberto Allevato Miguel De Pablo Ana Abbruzzese Mario Carmona Luz Savarin Mario Ibarra Monica Busso Corina Mordoh Ana Llopis Carolina Haas Roxana Bello Mabel Woscoff Alberto 2000 Prevalence of cutaneous manifestations in 200 patients with eating disorders International Journal of Dermatology 39 5 348 353 doi 10 1046 j 1365 4362 2000 00924 x ISSN 0011 9059 PMID 10849124 Manoharan Senthil Vel Rajan Rajaram Behere Rishikesh V Praharaj Samir Kumar Kongasseri Sreejayan Sharma P S V N 2014 Russell s Sign in Persistent Delusional Disorder A Case Report The Journal of Neuropsychiatry and Clinical Neurosciences 26 3 E4 E5 doi 10 1176 appi neuropsych 13060127 PMID 25093783 nbsp This medical sign article is a stub You can help Wikipedia by expanding it vte Retrieved from https en wikipedia org w index php title Russell 27s sign amp oldid 1222149302, wikipedia, wiki, book, books, library,
