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

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

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

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

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.

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。