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Year : 2020  |  Volume : 14  |  Issue : 2  |  Page : 57-60

A case of acrodermatitis enteropathica misdiagnosed as staphylococcal scalded skin syndrome

1 Department of Dermatology, Dr Gupta's Hair and Skin Hospital, Lalbagh, Lucknow, Uttar Pradesh; Department of Dermatology, Base Hospital, New Delhi, India
2 Department of Dermatology, Base Hopsital, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Priyanka Borde Bisht
Dr Gupta's Hair and Skin Hospital, Lalbaug, Lucknow - 226 001, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/TJD.TJD_23_20

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Acrodermatitis enteropathica (AE) is a rare genetic autosomal recessive disorder, characterized by periorificial dermatitis, alopecia, and diarrhea due to zinc deficiency. We report a case of a 9-month-old baby boy with hair loss for 2 months, diarrhea for 1.5 months, skin peeling starting around mouth, nose, anus, gradually spreading all over body over 1 month, and fever for 10 days. Due to superadded bacterial infections and altered clinical picture, he was diagnosed as a case of staphylococcal scalded skin syndrome. With low serum zinc levels and improvement of skin lesions and diarrhea within 8 days of starting oral zinc therapy, it was confirmed to be a case of acrodermatitis enteropathica. It is important to consider AE as one of the differential diagnoses in pediatric chronic diarrhea cases with acral and/or periorificial skin lesions to prevent delay in the zinc supplementation treatment and mortality.

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