National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Acrodermatitis enteropathica



Other Names:
Acrodermatitis enteropathica zinc deficiency type; AEZ; Brandt syndrome; Acrodermatitis enteropathica zinc deficiency type; AEZ; Brandt syndrome; Danbolt-Cross syndrome; AE See More
Categories:

Acrodermatitis enteropathica (AE) is a disorder of zinc metabolism that can either be inherited or acquired. Both forms lead to the inability to absorb zinc from the intestine. The lack of zinc can cause skin inflammation with a rash (pustular dermatitis) around the mouth and/or anus; diarrhea; and abnormal nails (nail dystrophy). Irritability and emotional disturbances can also occur. The inherited form is caused by mutations in the SLC39A4 gene and inherited in an autosomal recessive pattern. The acquired form can result from diets lacking the appropriate amount of zinc. Supplemental zinc usually eliminates the symptoms of acrodermatitis enteropathica.[1]
Last updated: 11/9/2011

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

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Medical Terms Other Names
Learn More:
HPO ID
80%-99% of people have these symptoms
Abnormal blistering of the skin
Blistering, generalized
Blisters
[ more ]
0008066
Abnormal eyebrow morphology
Abnormality of the eyebrow
0000534
Alopecia
Hair loss
0001596
Cerebral cortical atrophy
Decrease in size of the outer layer of the brain due to loss of brain cells
0002120
Chronic diarrhea 0002028
Dry skin 0000958
Erythema 0010783
Malabsorption
Intestinal malabsorption
0002024
Pustule
Pimple
0200039
Short stature
Decreased body height
Small stature
[ more ]
0004322
30%-79% of people have these symptoms
Blepharitis
Inflammation of eyelids
0000498
Cheilitis
Inflammation of the lips
0100825
Conjunctivitis
Pink eye
0000509
Emotional lability
Emotional instability
0000712
Failure to thrive
Faltering weight
Weight faltering
[ more ]
0001508
Furrowed tongue
Grooved tongue
0000221
Glossitis
Inflammation of the tongue
Smooth swollen tongue
[ more ]
0000206
Paronychia 0001818
Photophobia
Extreme sensitivity of the eyes to light
Light hypersensitivity
[ more ]
0000613
Ridged fingernail
Longitudinally grooved fingernails
0008402
Ridged nail
Grooved nails
Nail ridging
[ more ]
0001807
Skin ulcer
Open skin sore
0200042
5%-29% of people have these symptoms
Anorexia 0002039
Corneal erosion
Damage to outer layer of the cornea of the eye
0200020
Poor appetite
Decreased appetite
0004396
Visual impairment
Impaired vision
Loss of eyesight
Poor vision
[ more ]
0000505
Weight loss 0001824
Percent of people who have these symptoms is not available through HPO
Alopecia of scalp
Pathologic hair loss from scalp
Scalp hair loss
[ more ]
0002293
Ataxia 0001251
Autosomal recessive inheritance 0000007
Decreased serum testosterone level
Decreased serum testosterone levels
Low serum testosterone level
Low serum testosterone levels
[ more ]
0040171
Decreased taste sensation
Decreased taste
0000224
Decreased testicular size
Small testes
Small testis
[ more ]
0008734
Diarrhea
Watery stool
0002014
Hepatomegaly
Enlarged liver
0002240
Hypogonadism
Decreased activity of gonads
0000135
Impaired T cell function
T-cell dysfunction
0005435
Infantile onset
Onset in first year of life
Onset in infancy
[ more ]
0003593
Irritability
Irritable
0000737
Lethargy 0001254
Low alkaline phosphatase
Decreased serum alkaline phosphatase
0003282
Recurrent candida infections 0005401
Splenomegaly
Increased spleen size
0001744
Tremor 0001337
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Last updated: 7/1/2020

Making a diagnosis for a genetic or rare disease can often be challenging. Healthcare professionals typically look at a person’s medical history, symptoms, physical exam, and laboratory test results in order to make a diagnosis. The following resources provide information relating to diagnosis and testing for this condition. If you have questions about getting a diagnosis, you should contact a healthcare professional.

Testing Resources

  • The Genetic Testing Registry (GTR) provides information about the genetic tests for this condition. The intended audience for the GTR is health care providers and researchers. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional.

If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.

If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.

You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.

Healthcare Resources


Related diseases are conditions that have similar signs and symptoms. A health care provider may consider these conditions in the table below when making a diagnosis. Please note that the table may not include all the possible conditions related to this disease.

Conditions with similar signs and symptoms from Orphanet
Differential diagnoses include impetigo contagiosa, candidiasis, psoriasis, and other pathogen-related skin diseases. Sickle cell disease and related diseases, non-genetic or acquired causes of zinc deficiency such as glucagonoma (see these terms), chronic liver and renal diseases, nutritional deficiency, chronic inflammatory bowel diseases, AIDS, burn injuries, and excessive perspiration in hot climates should also be excluded.
Visit the Orphanet disease page for more information.

These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

Where to Start

  • DermNet NZ is an online resource about skin diseases developed by the New Zealand Dermatological Society Incorporated. DermNet NZ provides information about this condition.
  • The Merck Manuals Online Medical Library provides information on this condition for patients and caregivers. 
  • The National Organization for Rare Disorders (NORD) has a report for patients and families about this condition. NORD is a patient advocacy organization for individuals with rare diseases and the organizations that serve them.

In-Depth Information

  • Medscape Reference provides information on this topic. You may need to register to view the medical textbook, but registration is free.
  • The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
  • Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine. 
  • Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
  • PubMed is a searchable database of medical literature and lists journal articles that discuss Acrodermatitis enteropathica. Click on the link to view a sample search on this topic.

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  1. Acrodermatitis enteropathica . National Organization for Rare Disorders (NORD). 2008; http://www.rarediseases.org/rare-disease-information/rare-diseases/byID/511/viewAbstract. Accessed 11/9/2011.