Acrodermatitis enteropathica is a rare genetic disorder caused by a defect in intestinal zinc absorption, resulting in zinc deficiency and various clinical manifestations, including dermatitis, diarrhea, alopecia, and nail abnormalities. Here we present the case of a 10-year-old male child with diarrhea, and abdominal pain for several months who was diagnosed with acrodermatitis enteropathica confirmed by low serum zinc levels. The child had multiple erythematous, scaly, and crusted lesions on the hands and elbows, which resolved after starting oral zinc sulfate supplementation (10 mg/kg/day) in three divided doses. The patient's serum zinc levels normalized (1.0 µg/mL), and the skin lesions completely resolved after six months of follow-up with a regular zinc-rich diet and gradual reduction of zinc sulfate dosage to a maintenance level (2-4 mg/kg/day). This case report emphasizes the importance of timely diagnosis and treatment of acrodermatitis enteropathica to prevent the harmful consequences of zinc deficiency and highlights the need for healthcare providers to consider this disorder in children presenting with skin lesions and diarrhea, particularly those with a positive family history or consanguinity.
Introduction The demand for dermatologists is increasing due to the rising prevalence of skin diseases and the growing importance of dermatological care. However, there is limited research investigating the factors that influence medical students' interest in pursuing dermatology as a career option in Saudi Arabia, specifically in the Eastern Province. Methods This cross-sectional study aimed to assess the impact of dermatology rotation experience on the interest and perception of medical students and interns in the Eastern Province of Saudi Arabia. The participants consisted of medical students and interns located specifically in the Eastern Province. Data were collected through an online self-administered questionnaire that captured socio-demographic characteristics and evaluated the impact of dermatology rotation experience using a 3-point Likert scale. Convenient non-probability sampling was employed by sharing the questionnaire link on popular social media platforms. Results A total of 697 medical students from the Eastern Province of Saudi Arabia participated in this study, with an almost equal distribution between genders. A substantial proportion of participants expressed a strong preference for dermatology as their future career. While approximately 60% had completed a dermatology rotation, more than half found the process tiring. However, most participants agreed that dermatology offers flexible working hours, a better lifestyle, superior career options, and higher earnings compared to other healthcare professions. The study also revealed that factors such as age, marital status, academic level, GPA (grade point average), and income influenced the impact of the dermatology rotation. Conclusion This study sheds light on the factors influencing medical students' interest in dermatology and their perceptions of dermatology rotations. The findings emphasize the importance of diversity, early exposure, educational interventions, and supportive environments in promoting dermatology as a career choice. Overcoming barriers, enhancing transparency in assessment systems, and improving educational experiences can further foster interest in dermatology among medical students and address the growing demand for dermatological care.
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