A Case of Acquired Acrodermatitis Enteropathica due to Low Zinc Breast Milk.

DOI 2 Citations 35 References
  • SUZUKI Yasuyuki
    Division of Dermatology, Department of Internal Medicine, Saga Medical School
  • MORI Toru
    Division of Dermatology, Department of Internal Medicine, Saga Medical School
  • MISAGO Noriyuki
    Division of Dermatology, Department of Internal Medicine, Saga Medical School
  • NARISAWA Yutaka
    Division of Dermatology, Department of Internal Medicine, Saga Medical School

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  • 低亜鉛母乳にて生じた獲得型腸性肢端皮膚炎の１例

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Acquired acrodermatitis enteropathica in a 7-month-old male infant. The patient was the first-born child, with a full term birth, a 3220 g birth weight, and who was breast fed. Erosion and erythema developed in the gluteal regions tarting from around 3 months after birth. Thereafter, erythema developed on the head and face as well. Sparse hair growth was found in some parts of the occipital region and diarrheal symptoms were also noted. At the first medical examination, the serum zinc level was low at 13 μg/dl. The serum zinc level of his mother was normal at 113 μg/dl. The zinc level of the mother’s breast milk was low at 37 μg/dl. Therefore, the child was diagnosed to have acrodermatitis enteropathica due to a low zinc level in the breast milk. Zinc sulfate powder 50 mg was thus administrered daily. As a result, the cutaneous symptoms improved within 2 weeks, and the erythema disappeared completely within 10 weeks.

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