title: Acquired protein energy malnutrition in glutaric acidemia.
abstract: We report a case of acquired protein energy malnutrition with associated zinc deficiency in an 18-month-old boy with type 1 glutaric acidemia. Physical examination findings included generalized nonpitting edema, widespread desquamative plaques, and sparse hair with a reddish tinge. Laboratory abnormalities included low levels of zinc, albumin, alkaline phosphatase, and iron. A review of skin manifestations of nutritional deficiencies, specifically kwashiorkor, is presented, as well as the relatively new entity called acrodermatitis dysmetabolica.
authors: University of Texas Southwestern Medical Center, Dallas, TX 75207, USA.
authors: Liqiao
authors: L
authors: Ma
authors: Stephanie
authors: S
authors: Savory
authors: Nnenna G
authors: NG
authors: Agim
mesh_terms: D000169:Acrodermatitis / Q000175:diagnosis; D000592:Amino Acid Metabolism, Inborn Errors / Q000150:complications / Q000175:diagnosis*; D001706:Biopsy; D001928:Brain Diseases, Metabolic / Q000150:complications / Q000175:diagnosis*; D003872:Dermatitis / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D050770:Glutaryl-CoA Dehydrogenase / Q000172:deficiency*; D006801:Humans; D007223:Infant; D007732:Kwashiorkor / Q000175:diagnosis; D008297:Male; D011502:Protein-Energy Malnutrition / Q000175:diagnosis* / Q000209:etiology; D015032:Zinc / Q000172:deficiency*
chemical_list: D050770:Glutaryl-CoA Dehydrogenase; D015032:Zinc