Resumen

JUNQUERA BANARES, Sonia; ORIA MUNDIN, Eugenio  y  BOTELLA-CARRETERO, José Ignacio. Enteropathic acrodermatitis in a patient with high-out-put ileostomy. Nutr. Hosp. [online]. 2014, vol.29, n.2, pp.452-455. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2014.29.2.7136.

Zinc deficiency is relatively common in certain pathologies, although its clinical manifestation is uncommon. We present the case of a patient who was admitted presenting hyponatremic dehydration and pre-renal failure secondary to high-output ileostomy and oral intolerance. Although the ileostomy output was normalized within 3 days of admission and initial zinc plasma levels were normal, after being fed with TPN supplemented with 13 mg/day of zinc, he suffered a severe zinc deficit with enteropathic acrodermatitis that was completely resolved after one week with 26.5 mg/day. However, plasma levels did not return to normal until one month on therapy with high doses of zinc. Zinc plasma levels are not a good indicator of zinc stores in the body and many times their changes are a late indicator of zinc deficit. There is not a correlation between the clinical improvement and normalization of zinc levels, being common the clinical resolution within few days of the supplementation without observing an increase of zinc plasma levels.

Palabras clave : High-output ileostomy; Enteropathic acrodermatitis; Zinc.

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