Iranian Hospital Cases in Literature

and Emanual Maverakis3



(1)
University of British Columbia, Vancouver, British Columbia, Canada

(2)
New York Medical College, Valhalla, NY, USA

(3)
University of California Davis, Sacramento, CA, USA

 




9.1 Patient One [1]


This is the first Acrodermatitis Enteropathica patient in Iran that was reported by Dr. Sardadvar. This patient was a 6-month-old baby boy at the time of his admission to Razi Hospital on January 21, 1970. He was suffering from skin rash, digestion problems, and diarrhea. The patient had three brothers and two sisters who were apparently healthy. He had a natural birth, a normal weight at birth, and had been breast fed. The 6-year-old patient was suffering from a mild diarrhea at birth. Next, he had itching skin of the thighs, diarrhea, and hair loss at three months old. It is important to note that the history of the patient’s disorder was intermittent and he did not respond to the administration of Mycostatin when he was 3 years old. The patient was re-admitted and examined at the age of 6 months old. The skin lesions still existed around the mouth, nose, eyes, hips, and anal canal. The lesions were in the form of squamous erythematous plaques that were restricted around the nose, mouth and chin and had spread to the anterior part of the neck. The recent lesions had red color that could be separated from normal skin because of its red areola, plaque centers slightly sunken, and cloudy content covered by a thin crust. Impetigo like lesions were seen in the inner angle of the eyes, on the jowl, and eyebrows. Red irregular plaques, which seemed like impetigo or eczema, were also observed in the area of head and neck. Skin eruption vesicles were seen on the fingers, hips and legs. Alopecia was also noticed on the head and eyebrows. In addition, his strands of hair were thin and pale, and the mucosa membrane of his nasal cavity and the mouth were red. The Patient also suffered from diarrhea and excretion was done five to six times per day. Stools were reported to be green or sometimes yellow, smelly, and mixed with white rashes.

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May 9, 2017 | Posted by in Dermatology | Comments Off on Iranian Hospital Cases in Literature

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