• WARNING: Tube/Valve amplifiers use potentially LETHAL HIGH VOLTAGES.
    Building, troubleshooting and testing of these amplifiers should only be
    performed by someone who is thoroughly familiar with
    the safety precautions around high voltages.

DC/DC converter for 200VDC tube pre. Avoiding converter noise (digital switching noises and hiss)... Possible?

Insulation can fail. A battery powered device is no in any way connected to the mains, unless you plug it to a charger.
Let's not forget this is DIY, not design houses operating with processes and procedures, certifications etc.
I do not say everybody has to follow the advice, I say that is what I recommend doing.
Definitely a valid concern. Of course any power supply could have insulation fail and somehow get line voltage into what's supposed to be the "low voltage" side of things. An earth ground connection certainly minimizes that risk.