Sant Vivek R, Arnell Tracey D, Seres David S
College of Physicians and Surgeons, Columbia University, New York, New York.
Department of Surgery, Columbia University Medical Center, New York, New York.
JPEN J Parenter Enteral Nutr. 2016 May;40(4):592-5. doi: 10.1177/0148607114566465. Epub 2015 Jan 6.
The shortages of intravenous drugs remains critical, with sterile injectables accounting for 80% of the approximately 300 shortages. The impact is being felt in patients dependent on parenteral nutrition (PN), and severe deficiencies are becoming more commonplace. We report here a man who developed severe zinc deficiency, manifesting as a painful desquamative rash, due to an inability to obtain multi-trace element additives for his PN.
静脉药物短缺问题仍然严峻,在大约300种短缺药物中,无菌注射剂占80%。依赖肠外营养(PN)的患者受到了影响,严重缺乏症正变得越来越普遍。我们在此报告一名男子,由于无法获得用于其PN的多种微量元素添加剂,出现了严重的锌缺乏,表现为疼痛性脱屑性皮疹。