Preview

Current Pediatrics

Advanced search

Case of Enteropathic Acrodermatitis Due To Genetic Mutations Not Previously Described in Literature

https://doi.org/10.15690/vsp.v15i4.1591

Abstract

Enteropathic acrodermatitis is a disease associated with inborn zinc metabolism disorders. It is characterized by skin lesions around natural body orifices (periorificial dermatitis) and limbs (acrodermatitis), alopecia and diarrhea. Symptoms are associated with zinc deficiency due to malabsorption of this trace element in the small intestine. The article describes a case of enteropathic acrodermatitis in a boy aged 18 months with severe skin lesions and diarrhea. The patient has two mutations in the SLC39A4 gene in a compound heterozygous state not previously described in the world literature. The effect of the zinc drug treatment was observed within a few days.

About the Authors

Tatiana V. Kulichenko
Scientific Center of Children Health, Moscow, Russian Federation Sechenov First Moscow State Medical University, Moscow, Russian Federation
Russian Federation


Yulia S. Lashkova
Scientific Center of Children Health, Moscow, Russian Federation
Russian Federation


Anatoly A. Pushkov
Scientific Center of Children Health, Moscow, Russian Federation
Russian Federation


Kirill V. Savostianov
Scientific Center of Children Health, Moscow, Russian Federation
Russian Federation


References

1. Danbolt N, Closs K. Acrodermatitis enteropathica. Acta Dermatol Venereol. 1942;23:127–169.

2. Kury S, Kharfi M, Schmitt S, Bezieau S. Clinical utility gene card for: acrodermatitis enteropathica. Eur J Hum Genet. 2012;20(3). doi: 10.1038/ejhg.2011.227.

3. medscape.com [Internet]. Subramanian SKN, Barton AM, Montazami S, et al. Pediatric Acrodermatitis Enteropathica. [updated 2016 Aug 18; cited 2016 Aug 18]. Available from: http://emedicine. medscape.com/article/912075-overview.

4. Maverakis E, Fung MA, Lynch PJ, et al. Acrodermatitis enteropathica and an overview of zinc metabolism. J Am Acad Dermatol. 2007;56(1):116–124. doi: 10.1016/j.jaad.2006.08.015.

5. Chumpitazi CE, Tran JQ. Images in emergency medicine. Child with diarrhea and rash. Acrodermatitis enteropathica. Ann Emerg Med. 2013;62(4):303, 318. doi: 10.1016/j.annemergmed. 2013.01.020.

6. Maverakis E, Lynch PJ, Fazel N. Acrodermatitis enteropathica. Dermatol Online J. 2007;13(3):11.

7. Фицпатрик Т., Джонсон Р., Вульф К., и др. Дерматология. Атлассправочник. Перевод с англ. — М.: Практика; 1999. — 1088 с. [Fitzpatrik T, Johnson R, Wolff K, et al. Atlas of clinical dermatology. Transl. from English. Moscow: Praktika; 1999. 1088 p. (In Russ).]

8. Wessells KR, King JC, Brown KH. Development of a plasma zinc concentration cutoff to identify individuals with severe zinc deficiency based on results from adults undergoing experimental severe dietary zinc restriction and individuals with acrodermatitis enteropathica. J Nutr. 2014 Aug;144(8):1204–1210. doi: 10.3945/jn.114.191585. Epub 2014 May 21.

9. Chowanadisai W, Lonnerdal B, Kelleher SL. Identification of a mutation in SLC30A2 (ZnT-2) in women with low milk zinc concentration that results in transient neonatal zinc deficiency. J Biol Chem.2006;281(51):39699–39707. doi: 10.1074/jbc.m605821200.


Review

For citations:


Kulichenko T.V., Lashkova Yu.S., Pushkov A.A., Savostianov K.V. Case of Enteropathic Acrodermatitis Due To Genetic Mutations Not Previously Described in Literature. Current Pediatrics. 2016;15(4):391-395. (In Russ.) https://doi.org/10.15690/vsp.v15i4.1591

Views: 944


ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)