Other findings include secondary fungal or bacterial infection, diarrhea, alopecia, nails dystrophy, stomatitis and emotional disturbances. The dermatosis cleared after oral therapy with zinc . In recent years a number of dermatological manifestations caused by zinc deficiency have been described. If patients with any of these conditions require total parenteral nutrition, zinc deficiency begins to appear. In our case zinc deficiency was possibly due to sprue of small bowel.
Zinc supplementation is essentially.
Any of the zinc compounds available appear to work well. However zinc sulphate is the more recommended for oral treatment of zinc deficiency. The changes in nail quality were documented technically by measuring the swelling behavior of nail keratin after incubation with NaOH, the transonychial water loss as well as by clinical judgment of the investigator and the patient himself. All evaluation parameters showed improvement of nail quality. Correlation of clinical judgment with the swelling behavior after incubation with NaOH indicates the value of this technical procedure for evaluation of nail quality.