Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- increased susceptibility to infection
- taste disorders
- stomatitis
- delayed wound healing
- acrodermatitis enteropathica
Otros factores de diagnóstico
- fatigue
- gastrointestinal symptoms
- short stature
- bone fracture
- impaired glucose tolerance
- dermatitis
- weight loss
- alopecia
- paronychia
- fever
- intention tremor
- depression
- impaired concentration
- nystagmus
- dysarthria
- night blindness
- hypogeusia
- anosmia
- blepharitis
- dementia
Factores de riesgo
- living in a developing region
- age >65 years
- chronic gastrointestinal (GI) and liver disease
- renal disease
- sickle cell disease
- chronic treatment with hydrochlorothiazide, penicillamine, ethambutol, certain antibiotics
- HIV infection
- alcohol use disorder
- long-term vegetarian/vegan diets
- specialized weight-loss diets
- infants with nutrient-poor diets
- family history of zinc deficiency
- anorexia nervosa
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- serum or plasma zinc levels
- serum iron level
- serum 25-OH vitamin D level
- serum folate
- serum vitamin B12
Pruebas emergentes
- cell zinc content
- genetic testing for acrodermatitis enteropathica
Algoritmo de tratamiento
acquired
acrodermatitis enteropathica
Colaboradores
Autores
Prashant Singh, MD
Assistant Professor of Medicine
Division of Gastroenterology and Hepatology
University of Michigan
Ann Arbor
MI
USA
Divulgaciones
PS declares that he has no competing interests.
Judy Nee, MD
Instructor in Medicine
Division of Gastroenterology
Beth Israel Deaconess Medical Center
Boston
MA
Divulgaciones
JN declares that she has no competing interests.
Agradecimientos
Dr Prashant Singh and Dr Judy Nee would like to gratefully acknowledge Dr Daniel Leffler, a previous contributor to this topic.
Divulgaciones
DL declares that he has no competing interests.
Revisores por pares
Hajo Haase, PhD
Assistant Professor for low molecular weight immune regulators
Institute of Immunology
University Hospital
RWTH Aachen University
Aachen
Germany
Divulgaciones
HH has been reimbursed by Kohler Pharma, the manufacturer of UNIZINK, for attending a symposium and has received a fee for speaking at that symposium. HH is an author of a number of references cited in this topic.
Andrew Fenves, MD
Professor of Medicine
Baylor University Medical Center
Dallas
TX
Divulgaciones
AF declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Centers for Disease Control and Prevention. Immigrant and refugee health: nutrition and growth. May 2025 [internet publication].Texto completo
Lassi ZS, Kurji J, Oliveira CS, et al. Zinc supplementation for the promotion of growth and prevention of infections in infants less than six months of age. Cochrane Database Syst Rev. 2020 Apr 8;4:CD010205.Texto completo Resumen
U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary guidelines for Americans, 2020-2025. Dec 2020 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.

Diferenciales
- Hypothyroidism
- Depression
- Iron deficiency
Más DiferencialesGuías de práctica clínica
- Nutrition and growth refugee healthy domestic guidance
- 2020-2025 Dietary Guidelines for Americans
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