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Kathryn Graves, MD; Thelda Kestenbaum, MD; James Kalivas, MD

Arch Dermatol. 1980;116(5):562-564.

Abstract
• The condition of a 33-year-old woman who had a history of blisters following trauma on the hands, knees, and feet since 1 year of age previously had been diagnosed as epidermolysis bullosa. She also had psoriasiform plaques, a pustular crusted periorificial eruption, paronychia, alopecia, and photophobia. She had had minimal history of diarrhea. A markedly decreased serum zinc level was found, and treatment with zinc sulfate was instituted, resulting in clearing of all clinical manifestations. Since patients with hereditary acrodermatitis enteropathica may have minimal or no diarrhea and the correct diagnosis may be long delayed, the condition should not be considered strictly a disease of children.

(Arch Dermatol 116:562-564, 1980)

Author Affiliations
From the Division of Dermatology, University of Kansas Medical Center, Kansas City, Kan.

Footnotes
Accepted for publication Nov 23, 1979.

Reprint requests to the Division of Dermatology, University of Kansas Medical Center, College of Health Sciences and Hospital, Rainbow Boulevard at 39th Street, Kansas City, KS 66103 (Dr Kestenbaum).

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