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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2788- 15 March 2021 Posted By: Dr. Mona Abdel-Halim

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F55 ,Hair fall and skin rash involving the face (including peri-oral area), hands, forearms, feet, buttocks, groin and inguinal folds. The rash is erythematous, dry and desquamative (flaky). She also has edema of both limbs and glossitis. She has some mental confusion. The patient has performed intestinal bypass surgery in 2015 which was complicated by chronic diarrhea. The skin manifestations started to appear around the end of 2019.


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Cem Leblebici

Posted

Acrodermatitis enteropathica?

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vincenzo

Posted

Agree. Acrodermatitis Enteropatica. Secondary to intestinal malabsorption. 

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Richard Logan

Posted

Yes, agree.

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Alex-Ventura-Leon

Posted

Acrodermatitis enteropatica fits with the clinical description and the histology

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Carmen Lisievici

Posted

Agree with acrodermatitis enteropatica.

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Dr. Mona Abdel-Halim

Posted

It is definitely a case of multiple nutritional deficiency secondary to chronic diarrhea complicating the intestinal bypass surgery (the skin rash showed overlapping features of acrodermatitis enteropathica and pellagra). 

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