Dr Richard Carr

“Marked hyper- and parakeratosis with full thickness dysplasia
of the epidermis amounting to intraepidermal
carcinoma. Some extravasated red cells are noted in the
dermis at the centre of the biopsy, but this is relatively limited.
No hair follicles are included in the biopsy. There are no
features here specific for vitamin C deficiency.“
“Reviewed at MDT. Known zinc deficiency. Patient has
responded to zinc supplements”
Final Diagnosis
Zinc Deficiency
(Acrokeratosis enteropathica)
RAC3255