Chevrant-Breton J, Dreno B
Ann Dermatol Venereol. 1979 Feb;106(2):141-50.
3 patients (one infant and two adults) in prolonged intravenous feeding for digestive diseases developed cutaneous symptoms resembling acrodermatitis enteropathica. Essential fatty acid and hypozincemia (in 2 of 3 cases) are found. The dermatitis disappeared slowly with oral alimentation in 2 cases, and in a few days in the third one, with oral zinc sulfate. Review of literature shows that dermatitis occurring during prolonged intravenous feeding is attributed to essential fatty acid, zinc, or less often amino acid, deficiency. But resemblance of dermatitis with acrodermatitis enteropathica in most cases, high frequency of hypozincemia, and dramatic effects of treatment with zinc salts allow to think, that zinc is a key factor. Nevertheless, it is necessary to study simultaneously those different parameters and also vitamins A, E and B to conclude whether it exists or not many deficiencies (related or not) as an etiologic factor for cutaneous symptoms.
3例因消化系统疾病接受长期静脉营养的患者(1例婴儿和2例成人)出现了类似肠病性肢端皮炎的皮肤症状。发现存在必需脂肪酸缺乏以及低锌血症(3例中有2例)。2例患者通过口服营养,皮炎症状缓慢消失,第3例患者口服硫酸锌后,皮炎在数天内消失。文献回顾表明,长期静脉营养期间发生的皮炎归因于必需脂肪酸、锌缺乏,较少情况下归因于氨基酸缺乏。但大多数情况下皮炎与肠病性肢端皮炎相似,低锌血症发生率高,以及锌盐治疗效果显著,这让人认为锌是关键因素。然而,有必要同时研究这些不同参数以及维生素A、E和B,以确定是否存在多种(相关或不相关的)缺乏作为皮肤症状的病因。