title: [Zinc deficiency in artificial nutrition].
abstract: A 35-year-old patient was parenterally fed for a total of 170 days because of a twice reoperated gastric ulcer followed by a gastric-antrum small intestinal fistula. This lead to a complete acute zinc deficiency syndrome with pronounced acrodermatitis enteropathica-like skin changes in the face and the genital region, paronychia, flat blistering on the hands and feet, loss of hair, fingernail ridging (Beau's) and serious physical changes. A dramatic improvement and healing of all these skin changes, the antrum and small intestinal fistula as well as physical disorders occurred after intravenous and subsequent oral intake of zinc.
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009751:Nutritional Requirements; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D013276:Stomach Ulcer / Q000601:surgery*; D015032:Zinc / Q000172:deficiency*
chemical_list: D015032:Zinc
vernacular_title: Zinkmangel bei künstlicher Ernährung.