Fernandez Sein Alicia
Section of Pediatric Critical Care, Department of Pediatrics, UPR School of Medicine, San Juan, PR 00936-5067.
Bol Asoc Med P R. 2010 Jan-Mar;102(1):39-43.
Malnutrition is a well-known cause of infant morbidity and mortality. In developed societies malnutrition still exists, especially in patients fed insufficient diets during chronic and critical illnesses. Malnutrition impacts all organs. Skin manifestations are common, and its diagnosis is mostly visual. We present four cases of malnutrition with associated zinc deficiency were the clinical diagnosis proved correct. Acrodermatitis Enteropathica cannot be distinguished histologically form other forms of deficiency dermatitis and psoriasis. A thorough history and physical examination plus the clinical response to therapy are sufficient to make the correct diagnosis.
营养不良是婴幼儿发病和死亡的一个众所周知的原因。在发达社会中，营养不良仍然存在，尤其是在慢性和危重病期间饮食摄入不足的患者中。营养不良会影响所有器官。皮肤表现很常见，其诊断大多依靠视觉判断。我们报告了4例伴有锌缺乏的营养不良病例，临床诊断被证明是正确的。肠病性肢端皮炎在组织学上无法与其他形式的缺乏性皮炎和银屑病区分开来。详细的病史、体格检查以及治疗后的临床反应足以做出正确诊断。
