Haider Asim, Gurjar Hitesh, Ghazanfar Haider, Singh Himani, Siddiqa Ayesha
Internal Medicine, BronxCare Health System, New York, USA.
Radiology, Ivy Hospital, Nawanshahr, IND.
Cureus. 2023 Feb 15;15(2):e35011. doi: 10.7759/cureus.35011. eCollection 2023 Feb.
The most common cutaneous manifestations of alcoholism include urticarial reaction, flushing, porphyria cutanea tarda, psoriasis, rosacea, seborrheic dermatitis, and pruritus. Here, we present a case of a young male with a history of alcohol abuse who presented with non-blanching, petechial, and perifollicular macular rash secondary to vitamin C deficiency in view of poor oral intake. The rash improved significantly with vitamin C supplementation. Although rare in developed countries, clinicians should keep vitamin C deficiency as a differential diagnosis for skin rash in alcohol consumers.
酒精中毒最常见的皮肤表现包括荨麻疹反应、潮红、迟发性皮肤卟啉病、银屑病、酒渣鼻、脂溢性皮炎和瘙痒。在此,我们报告一例有酒精滥用史的年轻男性病例,该患者因口服摄入不足继发维生素C缺乏,出现了非压之褪色的瘀点及毛囊周围黄斑疹。补充维生素C后皮疹明显改善。尽管在发达国家维生素C缺乏很少见,但临床医生应将其作为酒精饮用者皮疹的鉴别诊断之一。