• Rev Paul Pediatr · Apr 2018

    Case Reports

    ACRODERMATITIS ENTEROPATHICA: CLINICAL MANIFESTATIONS AND PEDIATRIC DIAGNOSIS.

    • Ieda Regina Lopes Del Ciampo, Regina Sawamura, Luiz Antonio Del Ciampo, and Maria Inez Machado Fernandes.
    • Universidade Federal de São Carlos, São Carlos, São Paulo, Brasil.
    • Rev Paul Pediatr. 2018 Apr 1; 36 (2): 238-241.

    ObjectiveTo report a case of acrodermatitis enteropathica, a rare disease with autosomal recessive inheritance.Case DescriptionAn 11-month-old boy was presenting symmetrical erythematous and yellowish-brownish crusted lesions on his face, feet, hands and knees, intermittent diarrhea, fever, and recurrent infections since the age of six months. He was thin and had scarce hair on the scalp. The serum zinc level was measured and a reduced level of 27.0 mcg/dL (normal range: 50.0-120.0) was identified. Oral supplementation with 2.0 mg/kg/day of zinc sulfate was immediately initiated. A rapid and progressive improvement of symptoms was observed. The symptoms reappeared with an attempt to stop supplementation.CommentsRecognizing and properly treating acrodermatitis enteropathica is important to prevent complications.

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