Fernández YG, Casas GAH, Ortiz OAM, Revelo CH

Language: Spanish
References: 10
Page: 1-7
PDF size: 450.43 Kb.

ABSTRACT

Introduction: Acrodermatitis enteropathica is an inherited or acquired nutritional dermatosis by zinc deficiency that is clinically characterized by erythema, squamous crusts and erosions, especially in the perioral region, in acral areas and in the anogenital region. In addition to inadequate oral intake, there are secondary causes of this nutritional deficiency.
Objective: To refer a nutritional dermatosis uncommon in female infants.
Case presentation: 6-months-old baby girl, skin phototype III, fed with exclusive breastfeeding whom was attended in the specialized consultation in Dermatology of "William Soler" Pediatric Hospital due to clinical framework of 3 months of evolution characterized by eritemato crusty lesions in acral and periorifices´ regions. Parents commented on exclusive breastfeeding. There were made complementary blood tests.
Conclusions: The deficiencies of vitamins and trace elements may cause a wide range of mucocutaneous findings. In the presented case diagnosed as adquired acrodermatitis enteropathica, there is an inadequate intake of zinc in breast milk.

REFERENCES

1. Pérez-Armas R, Vargas-Bravo J. Acrodermatitis enteropática: reporte de un caso y revisión de la literatura. Multimed. 2016 [acceso 18/06/2019];17(1). Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/113

2. Junquera Bañares S, Oria Mundín E, Botella-Carretero J I. Acrodermatitis enteropática en paciente con ileostomía de alto débito. Nutr Hosp. 2014 [acceso 18/06/2019];29(2):452-5. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112014000200030

3. Yarmuch P, Chaparro X, Fischer C. Manifestaciones dermatológicas de fibrosis quística en un lactante: acrodermatitis enteropática símil y pelo gris. Rev Chil Pediatr. 2015 [acceso 18/06/2019];86(1):52-5 Disponible en: https://scielo.conicyt.cl/pdf/rcp/v86n1/art10.pdf

4. Pérez-Elizondo AD, Sánchez-Castillo JL. Acrodermatitis enteropática: simulando una dermatitis seborreica extensa y grave del lactante. Presentación de un caso. Arch Inv Mat Inf. 2014 [acceso 18/06/2019];6(1):22-4. Disponible en: https://www.medigraphic.com/pdfs/imi/imi-2014/imi141e.pdf

5. CiampoIeda R, Sawamura R, del Ciampo LA, Fernández I. Acrodermatitis enteropática: Manifestaciones clínicas y diagnóstico pediátrico. Rev Paul Pediatr. 2018 [acceso 18/06/2019];36(2):238-41. Disponible en: http://www.scielo.br/scielo.php?pid=S010305822018000200238&script=sci_arttet

6. Lakdawala N, Grant-Kels JM. Acrodermatitis enteropathica and other nutritional diseases of the folds (intertriginous areas). Clinics Dermatol. 2015 [acceso 18/06/2019];33 (4):414-9. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1s2.0S0738081X15000668.pdf?locale=es_ES&searchIndex=

7. Küry S, Kharfi M, Blouin E, Schmitt S, Bézieau S. Clinical utility gene card for: acrodermatitis enteropathica. 2015. Eur J Hum Genet. 2016 [acceso 18/06/2019];24(5). Disponible en: http://dx.doi.org/10.1038/ejhg.2015.203

8. Beigi P, Maverakis E. Acrodermatitis enteropathica. A Clinician’s Guide. New York: Springer International Publishing; 2015 [acceso 18/06/2019]. Disponible en: https://link.springer.com/book/10.1007%2F978-3-319-17819-6

9. Arenas R. Acrodermatitis enteropática. En: Arenas R, director. Dermatología. Atlas, Diagnóstico y tratamiento. México: McGraw-Hill Interamericana Editores; 2013. p. 348-50.

10. Jen M, Yan A. Alteraciones cutáneas en las enfermedades nutricionales. En: Fitzpatrick, editor. Dermatología en Medicina General. Ciudad de: México Editorial: Médica Panamericana; 2009. p. 1521-23.