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一名慢性酒精中毒和胃旁路手术后患者的锌缺乏性肢端皮炎：病例报告

Zinc-deficiency acrodermatitis in a patient with chronic alcoholism and gastric bypass: a case report.

作者信息

Shahsavari Dariush, Ahmed Zubair, Karikkineth Ajoy, Williams Richard, Zigel Carlos

机构信息

Department of Medicine, Medstar Harbor Hospital, Baltimore, MD, USA.

出版信息

J Community Hosp Intern Med Perspect. 2014 Jul 31;4(3). doi: 10.3402/jchimp.v4.24707. eCollection 2014.

DOI:10.3402/jchimp.v4.24707
PMID:25147643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4120136/
Abstract

Acquired adult-onset zinc deficiency is occasionally reported in patients with malnutrition states, such as alcoholism, or malabsorptive states, such as post-bariatric surgery. The defining symptoms of hypozincemia include a classic triad of necrolytic dermatitis, diffuse alopecia, and diarrhea. We report a case of zinc deficiency in a 39-year-old man with history of gastric bypass surgery and alcoholism. For this patient, severe hypozincemia confirmed acrodermatitis, and zinc supplementation was met with gradual improvement.

摘要

获得性成人锌缺乏症偶尔在营养不良状态（如酗酒）或吸收不良状态（如减肥手术后）的患者中报道。低锌血症的典型症状包括坏死性皮肤炎、弥漫性脱发和腹泻的经典三联征。我们报告一例39岁男性锌缺乏症病例，该患者有胃旁路手术史和酗酒史。对于该患者，严重低锌血症确诊为肢端皮炎，补充锌后病情逐渐改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/f4ea0762c9ad/JCHIMP-4-24707-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/c2579dcd9d4d/JCHIMP-4-24707-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/fbbc41b006bd/JCHIMP-4-24707-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/0c49730c89a5/JCHIMP-4-24707-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/b77d79b70c55/JCHIMP-4-24707-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/f4ea0762c9ad/JCHIMP-4-24707-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/c2579dcd9d4d/JCHIMP-4-24707-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/fbbc41b006bd/JCHIMP-4-24707-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/0c49730c89a5/JCHIMP-4-24707-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/b77d79b70c55/JCHIMP-4-24707-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/293d/4120136/f4ea0762c9ad/JCHIMP-4-24707-g005.jpg

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A case of acquired Zinc deficiency.一例获得性锌缺乏症。
Acrodermatitis Enteropathica: A Case Report.
肠病性肢端皮炎：一例报告
Oman Med J. 2020 Nov 23;35(6):e201. doi: 10.5001/omj.2020.97. eCollection 2020 Nov.
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Magnesium, Calcium, Potassium, Sodium, Phosphorus, Selenium, Zinc, and Chromium Levels in Alcohol Use Disorder: A Review.酒精使用障碍中的镁、钙、钾、钠、磷、硒、锌和铬水平：综述
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Editor's Note.编者按。
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ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient.美国代谢与减重外科学会（ASMBS）针对减重手术患者的联合健康营养指南。
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