Zinc deficiency in an exclusively breast-fed preterm infant.

Abstract:

UNLABELLED:A formerly premature, exclusively breast-fed infant with severe zinc deficiency syndrome is presented. He showed the characteristic erosive skin changes, including alopecia, as seen in acrodermatitis enteropathica. In addition, he manifested a failure to thrive and irritability. The diagnosis was confirmed by reduced serum levels of zinc (2.3 mumol/l) and alkaline phosphatase (45 U/l). We consider the reduced zinc supply in the breast milk (5.7 mumol/l) as the most likely cause of the disease. Therapy consisted of oral zinc supplements (50 mumol/kg/day) for a period of 30 weeks. Symptoms and laboratory values normalized completely and did not recur on a normal diet. CONCLUSION:A diet of breast milk can, in rare circumstances, cause insufficient zinc intake resulting in severe zinc deficiency syndrome with characteristic dermatological features. Therapy consists of temporary oral zinc supplementation at a daily dose of 50 mumol/kg.

journal_name

Eur J Pediatr

authors

Heinen F,Matern D,Pringsheim W,Leititis JU,Brandis M

doi

10.1007/BF01972977

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

71-5

issue

1

eissn

0340-6199

issn

1432-1076

journal_volume

154

pub_type

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