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Acquired protein energy malnutrition in glutaric acidemia
Liqiao Ma1, Stephanie Savory, Nnenna G Agim
1University of Texas Southwestern Medical Center, Dallas, TX 75207, USA.
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.
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