Question of the Week # 423

423) A 14 month old male baby is brought to your office by his concerned mother for recurrent diarrhea over the past 2 months. He also developed a scaly rash around his mouth, on the cheeks and on buttocks. He has been exclusively breast-fed for about 8 months and has been started on gradual weaning process over the last four months. He is otherwise, a healthy child. There is no family history of eczema. On examination, he is afebrile and vitals are stable. Physical examination shows lesions around the ano-genital area as shown below :

Archer USMLE Step 3

Similar lesions are seen over his cheeks and around the mouth. Which of the following is indicated in this patient at this time?

A) Exclusive Breastfeeding

B) Serum Lead level

C) Serum Zinc level

D) Glucoagon level

E) Sweat Chloride Level

20 Thoughts on “Question of the Week # 423

  1. nsk on May 7, 2012 at 6:28 pm said:

    C ???

  2. shru on May 7, 2012 at 6:41 pm said:

    C) Serum Zinc level

  3. mike on May 7, 2012 at 7:21 pm said:

    C?

  4. c: it is a case of Acrodermatitis enteropathica ( genetic defect in protein responsible of absorption of zinc from intestine

  5. %usmle%, %galaxy% via Facebook on May 7, 2012 at 8:29 pm said:

    c

  6. serum zinc level

  7. %usmle%, %galaxy% via Facebook on May 8, 2012 at 2:50 am said:

    acrodermatitis enteropathica give zinc suplementation treat AWD nutr rehab

  8. mohajer on May 8, 2012 at 5:07 am said:

    c

  9. saurabh on May 8, 2012 at 3:28 pm said:

    C

  10. Roy on May 8, 2012 at 7:00 pm said:

    C????

  11. Yasir on May 9, 2012 at 3:33 pm said:

    Serum zinc level (acrodermatitis enteropathica)

  12. imran on May 18, 2012 at 7:40 pm said:

    acrodermatitis enteropathica. zinc deficiency.

  13. imran on May 18, 2012 at 7:43 pm said:

    serum zinc level

  14. this is acrodermatitis enteropathica from zinc defeciency that occurs in breast fed infants soon after weaning.presents with diarrhea and red inflammed patches around body openings mouth,anus,hand feet glossy tongue.so check zinc level

WordPress SEO fine-tune by Meta SEO Pack from Poradnik Webmastera
Freelance PHP Developer