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Zinc

Acrodermatitis enteropathica (AE)
Wilson disease.

AE: No consensus regarding the dosage but generally the recommended initial dose is 5-10mg/kg/day and maintenance doses of 1-2gram/kg/day (185-188).

Wilson disease: The adult dose is 50 mg t.i.d., each dose separated from food and beverages other than water by at least 1 h. The paediatric dose is 25 mg b.i.d. until 5 years of age, 25 mg t.i.d. until 16 years of age, or until 125 lbs body weight, and then 50 mg t.i.d. (189).

50 mg (elemental zinc) capsule and tablet

15 mg/ 10mL suspension (extemporaneous preparation)

PO

Nausea, vomiting

4

185.        Changela A, Javaiya H, Changela K, Davanos E, Rickenbach K. Acrodermatitis Enteropathica During Adequate Enteral Nutrition. JPEN Journal of parenteral and enteral nutrition. 2011; doi: 10.1177/0148607111407639 [published Online First: 2011/11/01].

186.        Mancini AJ, Tunnessen WW, Jr. Picture of the month. Acrodermatitis enteropathica-like rash in a breast-fed, full-term infant with zinc deficiency. Archives of pediatrics & adolescent medicine. 1998;152:1239-40 Online First: 1998/12/18].

187.        Weismann K, Hoe S, Knudsen L, Sorensen SS. 65Zinc absorption in patients suffering from acrodermatitis enteropathica and in normal adults assessed by whole-body counting technique. The British journal of dermatology. 1979;101:573-9 Online First: 1979/11/01].

188.        Perafan-Riveros C, Franca LF, Alves AC, Sanches JA, Jr. Acrodermatitis enteropathica: case report and review of the literature. Pediatric dermatology. 2002;19:426-31 Online First: 2002/10/18].

189.        Brewer GJ, Dick RD, Johnson VD, Fink JK, Kluin KJ, Daniels S. Treatment of Wilson's disease with zinc XVI: treatment during the pediatric years. The Journal of laboratory and clinical medicine. 2001;137:191-8 doi: 10.1067/mlc.2001.113037 [published Online First: 2001/03/10].

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