Acrodermatitis Enteropathica Following a Pull-Through Procedure

Foday. Y. Koroma, Hayden Fung, Shivkar Amara, M. Lebwohl
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Abstract

Abstract Introduction: Acrodermatitis Enteropathica is a rare condition traditionally expressed by perioral or acral dermatitis, diarrhea, and alopecia. Acrodermatitis Enteropathica can be inherited or acquired, with the acquired form linked to zinc deficiency. The pull-through procedure is a method used to treat Hirschsprung’s disease, a condition in which the large intestine is missing nerve cells that make it difficult to pass stool, which can lead to obstruction and absorption issues. Complications of pull-through procedures have been associated with bowel obstruction and malabsorption of essential nutrients, including zinc. Case Report: We present a 16-month-old male who developed perioral dermatitis, well-demarcated erythematous plaques, and alopecia after a pull-through procedure related to Hirschsprung’s disease. Discussion: Acrodermatitis Enteropathica can present with various cutaneous lesions, and dermatologists should be familiar with the differing morphologies. In this paper, we encourage dermatologists to consider Acrodermatitis Enteropathica as a differential diagnosis for patients who develop cutaneous lesions following pull-through procedures.   Keywords: Acrodermatitis Enteropathica, Hirschsprung’s Disease, zinc deficiency, case report
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拉通手术后的肠病变性皮肤炎
摘要 简介:肠病性肢皮炎是一种罕见的疾病,传统上表现为口周或口角皮炎、腹泻和脱发。肠病性肢皮炎可以是遗传性的,也可以是获得性的,获得性的肠病性肢皮炎与缺锌有关。拉通术是一种用于治疗赫氏肠病的方法,赫氏肠病是一种大肠神经细胞缺失导致粪便难以排出的疾病,可导致梗阻和吸收问题。拉通手术的并发症与肠梗阻和包括锌在内的必需营养素吸收不良有关。病例报告:我们介绍了一名 16 个月大的男性患者,他在接受与赫氏普隆氏病有关的牵拉术后出现口周皮炎、界限清楚的红斑和脱发。讨论:肠病性肢皮炎可表现为多种皮肤病变,皮肤科医生应熟悉不同的形态。在本文中,我们鼓励皮肤科医生将肠道皮炎作为牵拉术后出现皮肤病变的患者的鉴别诊断。 关键词肠病性肢皮炎 赫氏病 缺锌 病例报告
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