Acquired acrodermatitis enteropathica caused by zinc deficiency in a heavy drinker: A case report

Gil-Soon Choi; Min-Soo Jang; Hee-Kyoo Kim

doi:10.4168/aard.2017.5.6.361

Journal List > Allergy Asthma Respir Dis > v.5(6) > 1059291

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Choi, Jang, and Kim: Acquired acrodermatitis enteropathica caused by zinc deficiency in a heavy drinker: A case report

Case Report

Allergy Asthma Respir Dis 2017;5(6):361-365.

Published online: 5 November 2017

DOI: https://doi.org/10.4168/aard.2017.5.6.361

Acquired acrodermatitis enteropathica caused by zinc deficiency in a heavy drinker: A case report

Gil-Soon Choi¹, Min-Soo Jang², Hee-Kyoo Kim¹

¹Department of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea

²Department of Dermatology, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea

Correspondence to: Hee-Kyoo Kim https://orcid.org/0000-0003-0692-1639 Department of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 49267, Korea Tel: +82-51-990-6249, Fax: +82-51-990-6249, E-mail: naum67@naver.com

Received 27 April 201713 August 2017 Accepted 17 August 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acrodematitis enteropathica is an uncommon disease due to zinc deficiency which is characterized by perioral and acral dermatitis, alopecia, and diarrhea. This disease typically presents in infants, either due to an autosomal recessive genetic disorder or after cessation of breastfeeding. Acquired adult-onset acrodermatitis enteropathica has rarely been reported so far. We report a case of a 38-year-old man who had a history of chronic alcohol intake and presented with severe acrodermatitis enteropathica. The patient was successfully managed with zinc supplement and supportive care.

Keywords: Acrodermatitis enteropathica, Zinc, Alcohol

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Fig. 1.

Skin lesions show erythema and fissuring dermatitis in perioral area and palm (A, B), and severe desquamating rash with excoriations in buttock area (C). (A) Alopecia is present on the scalp.

Fig. 2.

Serial serum zinc level according to zinc supplement.

Fig. 3.

Nearly complete resolution of the previous rash and alopecia was noted at 1 year later.

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