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Contributor

Bernard Cohen, MD

Diagnosis

acrodermatitis enteropathica nutritional deficiency zinc deficiency

Body Site

total body abdomen

Age

6 months

Pigmentation

light

Organization

Color

red

Morphology

papulosquamous (bump, scale)

Pattern

Comments

At 6 months of age a healthy infant developed a diffuse progressive erosive crusted rash with accentuation of lesions in skin creases and at mucocutaneous junctions. He was exclusively breast-fed until one month earlier when his mother returned to work and weaned him to cow's milk based formula. Growth was normal until 6 months of age when he stopped gaining weight, developed diarrhea, and became fussy and listless. Laboratory studies were normal except for low zinc levels. His symptoms and rash resolved within 3 days of initiating oral zinc gluconate supplements.

Description

diffuse symmetric red scaly patches with erosions and crusts

Categories

papulosquamous eruptions Metabolic disorders nutritional deficiency

Image Added

7/30/2001 14:34:53

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Other Resources

PubMed Medline Plus Medscape

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