14th June 2021

A 14-year-old girl is seen in a paediatric clinic due to her parents’ concern over her recent weight loss

A 14-year-old girl is seen in a paediatric clinic due to her parents’ concern over her recent weight loss. She refuses to give a history, but her parents report she must have lost around a stone in the past three months and has become obsessive over her weight – weighing herself several times a day and refusing to eat anything but green vegetables. On examination, she is pale and visibly underweight and has noticeably puffy cheeks covered with soft fine hair.

Which THREE of the following physical features of the most likely underlying disorder are being described?  Select THREE options only.