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An ex-preterm, exclusively breastfed baby with poor postnatal growth was evaluated at 5 months of age for perianal erosive dermatitis (figure 1) and foul stools. No other cutaneous involvement was present. Investigations showed mild zinc deficiency (65 μg/dL, range 68–107). Unfortunately, no maternal blood or breast milk zinc levels were available. The dermatitis rapidly improved in six days (figure 2) on oral supplementation with zinc sulfate (2 mg/kg/day), and remained stable on zinc-enriched formula milk, without …
Contributors EV wrote the first draft of the manuscript; MR contributed to the critical revision of the manuscript; VM was involved in post-discharge medical follow-up of the patient, produced related documentation and contributed to the critical revision of the manuscript; MC made the specific diagnosis, took care of the patient in the acute phase, produced photographic documentation and contributed to the critical revision of the manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.