Document Detail


Acrodermatitis enteropathica: recent findings concerning clinical features, pathogenesis, diagnosis and therapy.
MedLine Citation:
PMID:  1278184     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acrodermatitis enteropathica (AE) was diagnosed in 2 siblings, boy and girl, at the age of 10 and 6 weeks. The family history is unremarkable except for consanguinity 5 generations previously. The clinical symptoms of the 2 patients conformed to the known features of AE, the gastrointestinal involvement loosing its significance with increasing age. In one patient in a stage of exacerbation the serum level of oleic acid (18:1) was lowered and of linoleic (18:2) acid slightly increased while that of arachidonic acid was decreased (Fig. 4). In both patients the serum zinc levels were significantly lowered. Under substitution with ZnSO4 the clinical condition improved and the serum zinc levels returned to normal. Histologically the small bowel mucosa was practically normal. Ultrastructural examination of jejunal biopsies revealed rather unspecific changes in the enterocytes in the form of numerous multivesicular bodies. The Paneth cells sometimes contained irregularly formed inhomogeneous structures within their cytoplasm. In addition the secretory granules varied in size and displayed a granular heteromorphic matrix. Frequently they were confluent and formed giant granules.
Authors:
O H Braun; K Heilmann; W Pauli; J A Rossner; K E Bergmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of pediatrics     Volume:  121     ISSN:  0340-6199     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  1976 Mar 
Date Detail:
Created Date:  1976-09-02     Completed Date:  1976-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  247-61     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acrodermatitis / diagnosis*,  drug therapy,  etiology,  genetics,  pathology
Age Factors
Arachidonic Acids / blood
Child, Preschool
Female
Humans
Infant
Intestinal Mucosa / pathology
Intestine, Small / pathology
Linoleic Acids / blood
Male
Microscopy, Electron
Oleic Acids / blood
Pedigree
Sulfates
Zinc / blood,  therapeutic use
Chemical
Reg. No./Substance:
0/Arachidonic Acids; 0/Linoleic Acids; 0/Oleic Acids; 0/Sulfates; 7440-66-6/Zinc

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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