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一名91岁男性患获得性肠病性肢端皮炎的病例。

A case of acquired acrodermatitis enteropathica in a 91-year-old man.

作者信息

Shen Yi, Sun Siyi, Chen Yuqiu, Zhou Yanmin

机构信息

Department of Geriatrics, Huadong Hospital, Fudan University, Shanghai, P.R. China.

出版信息

SAGE Open Med Case Rep. 2025 Mar 25;13:2050313X251330701. doi: 10.1177/2050313X251330701. eCollection 2025.

Abstract

This report is a care experience of acrodermatitis enteropathica caused by inadequate zinc intake. The male patient is 91 years old, he had been fasting caused by recurrent acute pancreatitis, and intravenous nutrition lacking zinc. The case was based on multidisciplinary treatment, reviewing clinical data, and making a definitive diagnosis. Zinc supplementation is based on monitoring serum zinc levels, and for the skin wound condition to choose timely and effective dressing changes, life care, keep the wound dry, control the exudate seepage, and promote the healing of the patient's wound. With treatment and care, the patient's skin damage was brought under control and the prognosis was favorable.

摘要

本报告是一例因锌摄入不足导致的肠病性肢端皮炎的护理经验。该男性患者91岁,因复发性急性胰腺炎而禁食,静脉营养中缺乏锌。该病例基于多学科治疗,回顾临床资料并做出明确诊断。补锌基于监测血清锌水平,并针对皮肤伤口情况选择及时有效的换药、生活护理,保持伤口干燥,控制渗出液渗漏,促进患者伤口愈合。经过治疗与护理,患者的皮肤损伤得到控制,预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11938447/0265b138ea79/10.1177_2050313X251330701-fig1.jpg

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