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Acrodermatitis enteropathica is characterised by inflamed patches of dry red skin which then become crusted and blistered before revealing a pustulent eroded lesion. Typically these patches start near the body's orifices before migrating to other sites, however in this patient the presentation was atypical thus delaying the diagnosis.

Acquired acrodermatitis enteropathica due to zinc deficiency in a patient with pre-existing Darier’s disease