case_images: PMC10847671_01
case_images: Acrodermatitis dysmetabolica and acquired acrodermatitis enteropathica lesions. Erythematous brownish patch with peripheral scale and thin-crusted plaques on (A) the peri-nasal, peri-ocular, and peri-oral regions, (B) neck, and (C) peri-genital regions. Erythematous-violaceous plaque with vesicles and prominent edema is present on (D) the dorsal aspect of the arm.
case_images: gr1.jpg
case_images: PMC10847671_01_gr1.jpg
case_images: fig1
case_images: There was prominent edema and erythema of bilateral dorsal aspect of the hands and feet (Fig 1).
case_images: Alopecia secondary to acrodermatitis dysmetabolica and acquired acrodermatitis enteropathica. Noncicatricial hair loss with reduced hair density through scalp without perifollicular erythema.
case_images: gr2.jpg
case_images: PMC10847671_01_gr2.jpg
case_images: fig2
case_images: Diffuse nonscarring alopecia of the scalp without follicular erythema was also noted (Fig 2).
case_images: Histopathologic findings in acrodermatitis dysmetabolica and acquired acrodermatitis enteropathica. Hematoxylin-eosin-stained section of skin biopsy taken from the scaly plaques on the neck shows psoriasiform epidermal hyperplasia with the classical finding of keratinocyte pallor in the upper epidermal layer. (Hematoxylin-eosin stain; original magnification: x10).
case_images: gr3.jpg
case_images: PMC10847671_01_gr3.jpg
case_images: fig3
case_images: Skin biopsy showed confluent parakeratosis and psoriasiform epidermal hyperplasia with pallor of keratinocytes in the upper epidermis, papillary edema with focal vacuolar interface changes, and a sparse lymphocytic infiltrate (Fig 3).