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Revista Mexicana de Pediatría

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2011, Number 3

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Rev Mex Pediatr 2011; 78 (3)

Dermatitis similar to acrodermatitis enteropathic: unusual presentation in a child with cystic fibrosis

Garza AA, Moreno SG, Cavazos D, Ríos TCG
Full text How to cite this article

Language: Spanish
References: 7
Page: 105-107
PDF size: 50.50 Kb.


Key words:

Cystic fibrosis, acrodermatitis enteropathica, zinc deficiency.

ABSTRACT

The cystic fibrosis (CF) is the disease most common autosomal recessive in the Caucasian population. The most common format is a progressive lung disease associated with pancreatic insufficiency. Reported the case of girl of 2 years three months, to whom it is the diagnosis of Acrodermatosis enteropathica by deficiency of zinc to the five months of age. She was treated with supplement of zinc with excellent response, but later developed chronic diarrhea, stunting their growth and development. It was managed with different schemes of treatment, without improvement. On admission to the hospital decides to make the determination of electrolyte in sweat resulting high on two occasions; suspecting Cystic Fibrosis, genetic analysis that is positive for CF is made. Given that CF is very rare in our country: above all that occur with dermatosis, seemed of interest the presentation of this case.


REFERENCES

  1. Strausbaugh SD, Davis PB. Cystic Fibrosis: a review of epidemiology and pathobiology. Clin Chest Med 2007; 28: 279–88.

  2. Boat TF, Acton JD. Fibrosis quística. En: Kliegman. Nelson tratado de pediatría. Barcelona. España. 18ª Edición. Volumen II. 2009: 1803-17.

  3. Zedek D, Morrell DS, Graham M, Goodman D, Groben P. Acrodermatitis enteropathica-like eruption and failure to thrive as presenting signs of cystic fibrosis. J Am Acad Dermatol 2008; 58: S5-8.

  4. Lezana JL. Editor. Fibrosis Quística. Guías clínicas para el diagnóstico y tratamiento. México, D.F. Intersistemas S.A. de C.V.; 2008.

  5. Crone J, Huber WD, Eichler I, Granditsch G. Acrodermatitis enteropathica-like eruption as the presenting sign of cystic fibrosis-case report and review of the literature. Eur J Pediatr 2002; 161(9): 475-8.

  6. Lovett A, Kokta V, Maari C. Diffuse dermatitis: An unexpected initial presentation of cystic fibrosis. J Am Acad Dermatol 2008; 58: S1-4.

  7. Álvarez P, Pais ME, Hernández M, Soliani A, García DR. Acrodermatitis enteropática. Arch Argent Pediatr 2007; 105(6): 532-44.




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Rev Mex Pediatr. 2011;78