Skip to main content

Periorificial and Acral Erythema in a Patient with Nephrotic Syndrome

  • Chapter
  • First Online:
Challenging Cases in Dermatology Volume 2

Abstract

An adolescent case of nephrotic syndrome, presented with periorificial and acral erythema. Histological features along with lab results of low serum zinc and alkaline phosphatase confirmed the diagnosis of an extremely rare combination.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  1. Dev T, Sethuraman G. Diagnosis of acrodermatitis enteropathica in resource limited settings. BMJ Case Rep. 2017;2017:bcr-2017.

    Google Scholar 

  2. Joshi A, Ratnu KS, Joshi KC, Vyas PC. Trace elements in nephrotic syndrome and chronic renal failure. Indian J Nephrol. 1993;3:48–50.

    Google Scholar 

  3. Mahalakshmi M, Balamurugan L, Madhu R, Ramesh A. Zinc responsive acrodermatitis in nephrotic syndrome. Indian Dermatol Online J. 2017;8(3):224–5.

    Article  CAS  Google Scholar 

  4. Maverakis E, Fung MA, Lynch PJ. Acrodermatitis enteropathica and an overview of zinc metabolism. J Am Acad Dermatol. 2007;56:116–24.

    Article  Google Scholar 

  5. Ogawa Y, Kinoshita M, Shimada S, Kawamura T. Zinc and skin disorders. Nutrients. 2018;10(2)

    Google Scholar 

  6. Perrone L, Gialanella G, Giordano V, La Manna A, Moro R, Di Toro R. Impaired zinc metabolic status in children affected by idiopathic nephritic syndrome. Eur J Paediatr. 1990;149:438–40.

    Article  CAS  Google Scholar 

  7. Reimold EW. Changes in zinc metabolism during the course of the nephrotic syndrome. Am J Dis Child. 1980;134:46–50.

    CAS  PubMed  Google Scholar 

  8. Saritha M, Gupta D, Chandrashekar L, Thappa DM, Rajesh NG. Acquired zinc deficiency in an adult female. Indian J Dermatol. 2012;57:492–4.

    Article  Google Scholar 

  9. Shah KN, Yan AC. Acquired zinc deficiency acrodermatitis associated with nephrotic syndrome. Pediatr Dermatol. 2008;25(1):56–9.

    Article  Google Scholar 

  10. Topal AA, Dhurat RS, Naval CS. Zinc responsive acrodermatitis in nephrotic syndrome: a rare presentation. Indian J Dermatol Venerol leprol. 2012;78:122–3.

    Google Scholar 

  11. Weissman K, Wadskov S, Mikkelsen HI, Knudsen L, Christensen KC, Storgaard L. Acquired zinc deficiency dermatoses in man. Arch Dermatol. 1978;114:1509–11.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

El-Darouti, M.A., Al-Ali, F.M. (2019). Periorificial and Acral Erythema in a Patient with Nephrotic Syndrome. In: Challenging Cases in Dermatology Volume 2. Springer, Cham. https://doi.org/10.1007/978-3-030-21855-3_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-21855-3_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21854-6

  • Online ISBN: 978-3-030-21855-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics