Factitious anemia due to surreptitious phlebotomy through a Hickman catheter

Self-phlebotomy in eating disorders

We present the case of a health-care professional with anorexia nervosa who used self-phlebotomy as a form of purge. Self-phlebotomy is most prevalent in young females employed in medical or paramedical professions. The occurrence in eating disorders of severe, unexplained, or rapidly appearing anemia; unexplained needle tracks, or past or present employment as a health-care worker should raise suspicion of self-phlebotomy.