title: Zinc Deficiency With Dermatitis in a Parenteral Nutrition-Dependent Patient Due to National Shortage of Trace Minerals.
abstract: The shortages of intravenous drugs remains critical, with sterile injectables accounting for 80% of the approximately 300 shortages. The impact is being felt in patients dependent on parenteral nutrition (PN), and severe deficiencies are becoming more commonplace. We report here a man who developed severe zinc deficiency, manifesting as a painful desquamative rash, due to an inability to obtain multi-trace element additives for his PN.
authors.affiliation: College of Physicians and Surgeons, Columbia University, New York, New York.
authors.forename: Vivek R
authors.initials: VR
authors.lastname: Sant
authors.affiliation: Department of Surgery, Columbia University Medical Center, New York, New York.
authors.forename: Tracey D
authors.initials: TD
authors.lastname: Arnell
authors.affiliation: Department of Medicine, Columbia University Medical Center, New York, New York dseres@columbia.edu.
authors.forename: David S
authors.initials: DS
authors.lastname: Seres
mesh_terms: D000005:Abdomen; D003872:Dermatitis / Q000209:etiology*; D019587:Dietary Supplements; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D057947:Parenteral Nutrition Solutions / Q000600:supply & distribution*; D011183:Postoperative Complications; D016038:Skin Transplantation; D014131:Trace Elements / Q000008:administration & dosage; D014948:Wounds, Gunshot / Q000601:surgery; D015032:Zinc / Q000008:administration & dosage / Q000172:deficiency*
chemical_list: D057947:Parenteral Nutrition Solutions; D014131:Trace Elements; D015032:Zinc
keywords: home nutrition support; long-term care; minerals/trace elements; nutrition; nutrition assessment, parenteral nutrition