{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:41:19Z","timestamp":1788478879461,"version":"build-2803163510"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"783","license":[{"start":{"date-parts":[[1991,1,1]],"date-time":"1991-01-01T00:00:00Z","timestamp":662688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,1,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Acrocyanosis, an uncommon disorder of the peripheral circulation, may occur in patients with anorexia nervosa. It is not known why this should be, nor whether acrocyanosis correlates with any other features of the disorder. The findings in an unselected series of 155 anorectics are reported. Acrocyanosis occurred in 32 and was more prevalent among the more severely ill. It was associated also with pallor of the face and trunk, slower pulse rates and higher fasting plasma glucose levels. Acrocyanosis could represent a more extreme form of a heat conserving mechanism not uncommon in anorectics. The possible relationship between peripheral vascular changes and plasma glucose levels requires further study.<\/jats:p>","DOI":"10.1136\/pgmj.67.783.33","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:01:03Z","timestamp":1230584463000},"page":"33-35","source":"Crossref","is-referenced-by-count":31,"title":["Acrocyanosis in anorexia nervosa"],"prefix":"10.1093","volume":"67","author":[{"given":"S","family":"Bhanji","sequence":"first","affiliation":[{"name":"The University of Exeter Postgraduate Medical School, and the Royal Devon and Exeter Hospital , Exeter EX2 5DW, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Mattingly","sequence":"additional","affiliation":[{"name":"The University of Exeter Postgraduate Medical School, and the Royal Devon and Exeter Hospital , Exeter EX2 5DW, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1991,1,1]]},"reference":[{"key":"ref_1","first-page":"101","article-title":"Clinical aspects of acrocyanosis","volume":"10","author":"Davis, E.","year":"1982","unstructured":"Davis, E. Clinical aspects of acrocyanosis. Adv Microcirc 1982, 10: 101-109.","journal-title":"Adv Microcirc"},{"key":"ref_2","article-title":"Anorexia Nervosa","author":"Dally, P.; Gomez, J.","year":"1979","unstructured":"Dally, P. & Gomez, J. Anorexia Nervosa. Heinemann, London, 1979."},{"key":"ref_3","article-title":"Anorexia Nervosa: a Multidimensional Perspective","author":"Garfinkel, P.E.; Gamer, D.M.","year":"1982","unstructured":"Garfinkel, P.E. & Gamer, D.M. Anorexia Nervosa: a Multidimensional Perspective. Brunner\/Mazel, New York, 1982."},{"key":"ref_4","article-title":"Medical Aspects of Anorexia Nervosa","author":"Bhanji, S.; Mattingly, D.","year":"1988","unstructured":"Bhanji, S. & Mattingly, D. Medical Aspects of Anorexia Nervosa. Wright, London, 1988."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1001\/archinte.1989.00390040085017","article-title":"Weight loss and the heart: effects of anorexia nervosa and starvation","volume":"149","author":"Schocken, D.D.; Holloway, J.D.; Powers, P.S.","year":"1989","unstructured":"Schocken, D.D., Holloway, J.D. & Powers, P.S. Weight loss and the heart: effects of anorexia nervosa and starvation. Arch Intern Med 1989, 149: 877-881.","journal-title":"Arch Intern Med"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1017\/S0033291700039994","article-title":"Disturbances in the regulation of body temperature in anorexia nervosa","volume":"1","author":"Wakeling, A.; Russell, G.F.M.","year":"1970","unstructured":"Wakeling, A. & Russell, G.F.M. Disturbances in the regulation of body temperature in anorexia nervosa. Psychol Med 1970, 1: 30-39.","journal-title":"Psychol Med"},{"key":"ref_7","first-page":"357","article-title":"Investigation of heat control in anorexia nervosa","volume":"143","author":"Gleeson, C.; Moore, R.E.","year":"1974","unstructured":"Gleeson, C. & Moore, R.E. Investigation of heat control in anorexia nervosa. Ir J Med Sci 1974, 143: 357.","journal-title":"Ir J Med Sci"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/00005792-197403000-00003","article-title":"Hypothalamic dysfunction in patients with anorexia nervosa","volume":"53","author":"Mecklenberg, R.S.; Loriaux, D.L.; Thompson, R.H.; Andersen, A.E.; Lipsett, M.B.","year":"1974","unstructured":"Mecklenberg, R.S., Loriaux, D.L., Thompson, R.H., Andersen, A.E. & Lipsett, M.B. Hypothalamic dysfunction in patients with anorexia nervosa. Medicine 1974, 53: 147-159.","journal-title":"Medicine"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1136\/bmj.281.6245.906","article-title":"Altered thresholds for thermoregulatory sweating and vasodilatation in anorexia nervosa","volume":"281","author":"Luck, P.; Wakeling, A.","year":"1980","unstructured":"Luck, P. & Wakeling, A. Altered thresholds for thermoregulatory sweating and vasodilatation in anorexia nervosa. Br Med J 1980, 281: 906-908.","journal-title":"Br Med J"},{"key":"ref_10","first-page":"8","article-title":"Temperature regulation in anorexia nervosa","volume":"268","author":"Davies, C.T.M.; Fohlin, L.; Thoren, C.","year":"1977","unstructured":"Davies, C.T.M., Fohlin, L. & Thoren, C. Temperature regulation in anorexia nervosa. J Physiol 1977, 268: 8P-9P.","journal-title":"J Physiol"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1111\/j.1651-2227.1978.tb16307.x","article-title":"Limb circulation in anorexia nervosa","volume":"67","author":"Freyschuss, U.; Fohlin, L.; Thoren, C.","year":"1978","unstructured":"Freyschuss, U., Fohlin, L. & Thoren, C. Limb circulation in anorexia nervosa. Acta Paediatr Scand 1978, 67: 225-228.","journal-title":"Acta Paediatr Scand"},{"issue":"7","key":"ref_12","first-page":"22","article-title":"Anorexia nervosa (apepsia hysterica, anorexia hysterica)","volume":"1874","author":"Gull, W.W.","unstructured":"Gull, W.W. Anorexia nervosa (apepsia hysterica, anorexia hysterica). Trans Clin Soc Lond 1874, 7: 22-28.","journal-title":"Trans Clin Soc Lond"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1111\/j.0954-6820.1978.tb08399.x","article-title":"Exercise performance and body dimensions in anorexia nervosa before and after rehabilitation","volume":"204","author":"Fohlin, L.","year":"1978","unstructured":"Fohlin, L. Exercise performance and body dimensions in anorexia nervosa before and after rehabilitation. 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