title: Zinc-deficiency acrodermatitis in a patient with chronic alcoholism and gastric bypass: a case report.
abstract: Acquired adult-onset zinc deficiency is occasionally reported in patients with malnutrition states, such as alcoholism, or malabsorptive states, such as post-bariatric surgery. The defining symptoms of hypozincemia include a classic triad of necrolytic dermatitis, diffuse alopecia, and diarrhea. We report a case of zinc deficiency in a 39-year-old man with history of gastric bypass surgery and alcoholism. For this patient, severe hypozincemia confirmed acrodermatitis, and zinc supplementation was met with gradual improvement.
authors.affiliation: Department of Medicine, Medstar Harbor Hospital, Baltimore, MD, USA.
authors.forename: Dariush
authors.initials: D
authors.lastname: Shahsavari
authors.affiliation: Department of Medicine, Medstar Harbor Hospital, Baltimore, MD, USA.
authors.forename: Zubair
authors.initials: Z
authors.lastname: Ahmed
authors.affiliation: Department of Medicine, Medstar Harbor Hospital, Baltimore, MD, USA.
authors.forename: Ajoy
authors.initials: A
authors.lastname: Karikkineth
authors.affiliation: Department of Medicine, Medstar Harbor Hospital, Baltimore, MD, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Williams
authors.affiliation: Department of Medicine, Medstar Harbor Hospital, Baltimore, MD, USA.
authors.forename: Carlos
authors.initials: C
authors.lastname: Zigel
keywords: acquired; alcoholism; bariatric surgery; malnutrition; zinc defiency