Mohammed Javed, Mehrotra Shruti, Schulz Helene, Lim Rodrick
From the Departments of Paediatrics and Medicine, Schulich School of Medicine, Western University, Children's Hospital, London Health Sciences Centre, London, Ontario, Canada.
Pediatr Emerg Care. 2017 Aug;33(8):582-584. doi: 10.1097/PEC.0000000000001218.
Pediatric skin diseases are a common presenting complaint to emergency medicine physicians but often pose a significant diagnostic challenge. Skin eruptions that are unusually severe for the diagnosis in question, lasting beyond the typical time of resolution, or not responding to conventional therapy should raise concern of a misdiagnosis. We present the case of a severe rash not responding to conventional atopic dermatitis therapy that led to a diagnosis of transient neonatal zinc deficiency. Clinicians caring for children should be aware of zinc deficiency and its corresponding clinical presentation, because it is readily treatable and may lead to the avoidance of unnecessary treatments and prevention of serious complications.
儿科皮肤病是急诊科医生常见的就诊主诉，但往往构成重大的诊断挑战。对于所讨论的诊断而言异常严重、持续时间超过典型的消退时间或对传统治疗无反应的皮疹，应引起对误诊的关注。我们报告一例严重皮疹，对传统特应性皮炎治疗无反应，最终诊断为短暂性新生儿锌缺乏症。诊治儿童的临床医生应了解锌缺乏及其相应的临床表现，因为它易于治疗，可避免不必要的治疗并预防严重并发症。
