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Case Reports
. 2013 Feb 22;62(7):136-7.

Notes from the field: Zinc deficiency dermatitis in cholestatic extremely premature infants after a nationwide shortage of injectable zinc - Washington, DC, December 2012

Centers for Disease Control and Prevention (CDC)
Case Reports

Notes from the field: Zinc deficiency dermatitis in cholestatic extremely premature infants after a nationwide shortage of injectable zinc - Washington, DC, December 2012

Centers for Disease Control and Prevention (CDC). MMWR Morb Mortal Wkly Rep. .

Erratum in

  • MMWR Morb Mortal Wkly Rep. 2013 Mar 15;62(10):196

Abstract

In mid-December 2012, three extremely premature infants with cholestasis in a neonatal intensive care unit (NICU) developed dermatitis in the diaper region, perioral erosions, and bullae on the dorsal surfaces of their hands and feet (Figure). The infants were similar in gestational age (23-24 weeks) and corrected postnatal age (33-38 weeks). All had severe cholestasis (direct bilirubin >3 mg/dL) and had received prolonged parenteral nutrition (PN). Each infant was in a private room and cared for by different nurses.

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Figures

FIGURE
FIGURE
Zinc deficiency dermatitis manifesting as bullous and erosive lesions on the hands and feet of a newborn infant — Washington, DC, December 2012 Photo/S.A. Norton, Children’s National Medical Center
See this image and copyright information in PMC

References

    1. American Academy of Pediatrics Committee on Nutrition: nutritional needs of low-birth-weight infants. Pediatrics. 1985;75:976–86. - PubMed
    1. American Society of Health-System Pharmacists. Zinc injection. Bethesda, MD: American Society of Health-System Pharmacists; 2013. Available at http://www.ashp.org/drugshortages/current/bulletin.aspx?id=777.
    1. American Society for Parenteral and Enteral Nutrition. Parenteral nutrition trace element product shortage considerations. Silver Spring, MD: American Society for Parenteral and Enteral Nutrition; 2011. Available at http://www.nutritioncare.org/news/parenteral_nutrition_trace_element_pro.... - PubMed

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