Perafán-Riveros Claudia, França Luis Fernando Sayago, Alves Ana Cristina Fortes, Sanches José Antônio
Department of Dermatology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Pediatr Dermatol. 2002 Sep-Oct;19(5):426-31. doi: 10.1046/j.1525-1470.2002.00200.x.
Acrodermatitis enteropathica (AE) is a rare hereditary disorder caused by impaired absorption of zinc from the gastrointestinal tract. It is characterized by acral and periorificial dermatitis, alopecia, and diarrhea. Symptoms usually begin on weaning from breast or formula feeding. We report a full-term, 21-month-old boy with typical skin lesions and decreased plasma zinc level (12 micro g/dl). The patient was given zinc sulfate 40 mg/day and at the end of 1 month his condition had improved significantly. After reviewing the literature we emphasize the important role of zinc in human metabolism and the difference between AE and acquired zinc deficiencies.
肠病性肢端皮炎(AE)是一种罕见的遗传性疾病,由胃肠道锌吸收受损引起。其特征为肢端和口周皮炎、脱发及腹泻。症状通常在断奶(停止母乳喂养或配方奶喂养)时开始出现。我们报告了一名足月出生、21个月大的男孩,他有典型的皮肤损害且血浆锌水平降低(12微克/分升)。该患者每天服用40毫克硫酸锌,1个月后病情显著改善。在查阅文献后,我们强调了锌在人体代谢中的重要作用以及AE与后天性锌缺乏症之间的差异。