MSFinals-5331

MSFinals-5331

A 16-year-old is brought to her General Practitioner by her parents after they noticed her eating habits had become irregular. The parents report that the patient eats large volumes of foods and is sometimes found vomiting shortly after eating dinner. This behaviour has been occurring for the past 6 months. On examination, the patient’s vital signs are normal and she has a body mass index (BMI) of 23. She has excoriations on the knuckles of her right hand. She also has erosions on her teeth and swelling bilaterally on the lateral aspects of the face along the mandibular rami.
What is the most likely diagnosis?