V&M-6

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Topic: V&M-6

Posted on: November 24, 2016

Patient no 9
A 10 years old male child presented with alopecia, ophthalmic disorders, diarrhea,
severe growth retardation, delayed sexual maturation, neuropsychiatric
manifestations, and frequent infections. Scaly erythematous plaques were
observed over hands, feet, anogenital area and around mouth. His lab tests
revealed the following:

• Bilirubin: 20μmol/l (3-17)
• Albumin : 30 g/L (35-50)
• ALT:225 U/L (<42)
• ALP: 15 U/L (30-120)
• GGT:56U/ L (< 45)

a. What is the clinical diagnosis?
b. What is the single most important biochemical test you would advise to
confirm this diagnosis?

a. Acrodermatitis Enteropathica (Zinc Deficiency)

b. Serum Zinc Level
Ref No 9
Clinical manifestations, diagnosis, and natural history of primary biliary cirrhosis
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