There are many signs and symptoms you need to be aware of if Anorexia Nervosa is the suspected disease. These include-

• Hypotension
• Bradycardia
• Hypothermia
• Dry skin
• Lanugo body hair
• Atrophy of breasts
• Thinning hair
• Peripheral edema
• Lanugo body hair (thin, soft non-pigmented hair)

Patients with anorexia may develop hypercarotenemia, which is the orange pigmentation of the skin. It is thought to be a result of either increased carotene and vitamin An intake, or a defect in which the utilization or metabolism of Vitamin A is impaired.

Acrocyanosis is another sign that can be seen in anorexia nervosa. It is a blueish color change of extremities that results from the small vessels in the fingers and toes constricting, which is called vasospasm. The result is that less oxygen delivered through the blood is getting to those peripheral areas. Swelling of the parotid and/or submandibular glands, loss of muscle mass, low blood glucose, decreased parathyroid hormone levels, increased liver function, and diminished WBC count is also signs/symptoms of anorexia.

When trying to evaluate an individual to determine if they are exhibiting warning signs of anorexia, it is important to pay attention to their behavior over time. Noticing if an individual is dieting chronically or is severely underweight can be the first clue that something isn’t quite right.

Another sign is if the individual has a severe obsession with counting calories or counting grams of fat and refuses to eat. Or if the individual becomes ritualistic when eating their foods. Such behaviors include hiding food or always eating alone.

Other behavioral changes that can be observed include flat affect, depressed mood, lethargy, amenorrhea and/or avoidance of activities with family or friends. If any of these signs/symptoms are noticed, it is important to consult with a healthcare provider to determine the underlying cause so that appropriate treatment can be initiated .