PMC2779298_01
(A) Interconnected, erythematous, scaly, erosive patches, papules and tiny vesicles on the lower back and buttocks. (B) After 1 month of treatment with total parenteral nutrition, oral zinc supplement and topical linoleic acid.
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F1
The cutaneous manifestations were characterized by interconnected, erythematous, scaly, erosive patches, papules and tiny vesicles on her arms, abdomen, lower back and buttocks, and these lesions were especially severe in the flexural areas (Fig. 1A). The patient's dermatitis improved markedly after 1 month of treatment, except for her postinflammatory hyperpigmentation (Fig. 1B).
(A) Irregular acanthosis, mild parakeratosis and dermal perivascular infiltration. (B) Upper epidermal clear cell changes (H&E, (A) x100, (B) x200).
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F2
Irregular acanthosis, mild parakeratosis and dermal perivascular infiltration were also observed on another skin section (Fig. 2).
(A, B) Erosion of the finger tips. (C) Diffuse alopecia and yellowish change of hair.
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F3
Her fingers showed the erosion of the finger tips, but there was no paronychia involvement (Fig. 3). The scalp hair was diffusely sparse and light brown but it was not brittle or otherwise abnormal (Fig. 3).