Korean J Dermatol.  2009 Apr;47(4):479-482.

A Case of Acquired Zinc Deficiency in a Patient with Ischemic Colitis

Affiliations
  • 1Department of Dermatology, College of Medicine, Dankook University, Cheonan, Korea. ivymyung@hanmail.net
  • 2Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea.
  • 3Department of Dermatology, College of Medicine, Korea University, Seoul, Korea.

Abstract

Zinc deficiency is characterized by acrodermatitis enteropathica like eruption such as periorificial dermatitis, diarrhea and mental irritability. This syndrome occurs due to decreased supplementation, increased consumption or decreased bowel absorption of zinc. We report here on a case of acquired zinc deficiency in a patient who was receiving total parenteral nutrition due to ischemic colitis. She showed denuded patches on the perinasal, perioral and perineal area and tense bullae on both hands. She was suffering from diarrhea and mental irritability. Her blood zinc level was 4.9microng/dl. Subsequent intravenous zinc supplementation cleared up her clinical manifestations.

Keyword

Ischemic colitis; Total parenteral nutrition; Zinc deficiency

MeSH Terms

Absorption
Acrodermatitis
Blister
Colitis, Ischemic
Dermatitis
Diarrhea
Hand
Humans
Parenteral Nutrition, Total
Stress, Psychological
Transcutaneous Electric Nerve Stimulation
Zinc
Acrodermatitis
Zinc
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