A Rare Case Of Severe Acrodermatitis Enteropathica During Covid-19 Lockdown

J Ayub Med Coll Abbottabad. 2022 Oct-Dec;34(4):880-882. doi: 10.55519/JAMC-04-10371.

Abstract

Acrodermatitis Enteropathica is a rare hereditary condition characterized by perioral dermatitis, diarrhoea, and alopecia. Aetiology includes autosomal recessive inheritance and acquired causes such as protein malnutrition, malabsorption syndromes, premature births, parenteral nutrition, chronic illnesses, and alcoholism. We report a rare case of a 12-year-old boy who presented with cutaneous manifestations involving the whole body, diarrhoea, and sparse hairs. A low level of plasma zinc, and alkaline phosphatase level was found, and he was started on zinc supplements. He significantly improved in a few days, and was discharged after counselling the parents about treatment compliance. This case highlights importance of early diagnosis, and the importance of treatment compliance in Acrodermatitis Enteropathica. It also stresses the need to take measures to ensure the provision of health facilities especially in remote areas.

Keywords: Acrodermatitis enteropathica; COVID-19 Lockdown; Treatment non compliance.

Publication types

  • Case Reports

MeSH terms

  • Acrodermatitis* / diagnosis
  • Acrodermatitis* / etiology
  • COVID-19* / complications
  • Child
  • Communicable Disease Control
  • Diarrhea
  • Humans
  • Male
  • Zinc / therapeutic use

Substances

  • Zinc

Supplementary concepts

  • Acrodermatitis enteropathica