Rediscovering the Physical Exam: Zinc Deficiency in a Preterm Infant

An 6-month-old female, born at 27 weeks gestational age presented with sharply demarcated, eczematous, pinkish-orange, hyperkeratotic papules and plaques in a U-shaped distribution, extending from her cheeks to her chin and notably sparing the lips. Sharply demarcated, symmetrical, beefy red, shallow erosions – “scald-like” in appearance – were noted peri-anally and acrally. Eyebrow hair was sparse, and fingernails were slightly ridged and soft. Mouth, tongue, and muscle tone were normal.

source https://www.jpeds.com/article/S0022-3476(21)00781-2/fulltext?rss=yes

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