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KMID : 0438520110180020383
Journal of the Korean Society of Neonatology
2011 Volume.18 No. 2 p.383 ~ p.386
A Case of Acrodermatitis Enteropathica with Normal Serum Zinc Level in a Breastfed Preterm Infant
Baek Jung-Hyun

Park Chul
Park Kyu-Hee
Lee Jung-Hwa
Hong Young-Sook
Lee Joo-Won
Baek Yoo-Sang
Song Hae-Jun
Lee Jang-Hoon
Abstract
Acrodermatitis enteropathica due to zinc deficiency is characterized by periorificial dermatitis, alopecia, and intractable diarrhea. Here we report a case of transient acrodermatitis enteropathica in a 2-month-old preterm infant, whose skin is erythematous, scaly, eczematous, with an eruption starting from the periorificial area. While her serum zinc level was normal at 118.2 ug/dL, the serum alkaline phosphatase level was low at 48 IU/L and the serum alkaline phosphatase level get increased concordant with clinical improvement after zinc supplementation. Hence, this case shows that the diagnosis of zinc deficiency can be aided with a low level of serum alkaline phoaphatase although serum zinc level is normal
KEYWORD
Acrodermatitis enteropathica, Alkaline phosphatase, Zinc deficiency, Periorificial dermatitis
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