<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522023000400162</article-id>
<article-id pub-id-type="doi">10.35366/114767</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Acrodermatitis dismetabólica]]></article-title>
<article-title xml:lang="en"><![CDATA[Dysmetabolic acrodermatitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Comparán]]></surname>
<given-names><![CDATA[Erick Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santillán-García]]></surname>
<given-names><![CDATA[Mayra Aidé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Negrete]]></surname>
<given-names><![CDATA[Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peregrino-Bejarano]]></surname>
<given-names><![CDATA[Leoncio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zurita-Cruz]]></surname>
<given-names><![CDATA[Jessie Nallely]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Clínica de Excelencia en Errores Innatos del Metabolismo ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI Hospital de Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>90</volume>
<numero>4</numero>
<fpage>162</fpage>
<lpage>166</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522023000400162&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522023000400162&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522023000400162&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la acrodermatitis dismetabólica se puede presentar en pacientes con errores innatos del metabolismo, como en la enfermedad de orina con olor a jarabe de arce (EOJA).  Descripción del caso:  se trata de un paciente masculino que a los ocho días de vida presentó hipotonía, letargo, anorexia, apneas y cianosis. Por las manifestaciones neurológicas se sospecha de error innato del metabolismo, solicitando tamiz metabólico. Debido a niveles plasmáticos elevados de leucina, isoleucina y valina se establece diagnóstico de EOJA, iniciando dieta libre de estos aminoácidos. A los cinco meses de edad se identifica con dermatosis diseminada: placas eritematoescamosas confluentes, mal delimitadas, con lo cual se considera que cursa con acrodermatitis dismetabólica; tras siete días de ajustar terapia se observó mejoría de las lesiones dermatológicas. Se mantuvo estable hasta los dos años, cuando reingresa por exacerbación de la dermatosis y acidosis metabólica; pero a pesar del manejo intensivo el paciente fallece.  Conclusiones:  en la acrodermatitis dismetabólica, las lesiones cutáneas pueden ser un marcador de descompensación de una enfermedad metabólica, por lo que se requiere conocer esta entidad para otorgar tratamiento oportuno.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  dysmetabolic acrodermatitis can occur in patients with inborn errors of metabolism, such as maple syrup urine disease (MSUD).  Case description:  this is a male patient who, at eight days of age, presented hypotonia, lethargy, anorexia, apneas and cyanosis. Due to the neurological manifestations, an inborn error of metabolism is suspected, requesting metabolic screening. Due to elevated plasma levels of leucine, isoleucine and valine, a diagnosis of MSUD was established, starting a diet free of these amino acids. At five months of age, he was identified with disseminated dermatosis: confluent erythematosquamous plaques, poorly delimited, considered as dysmetabolic acrodermatitis; after seven days of adjusting therapy, improvement of the dermatological lesions was observed. He remained stable until 2 years of age, when he was readmitted for dermatosis exacerbation and metabolic acidosis; however, the patient died despite intensive care management.  Conclusions:  in dysmetabolic acrodermatitis, skin lesions can be a marker of decompensation of a metabolic disease. Early identification of this complication can help offer timely treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[acrodermatitis]]></kwd>
<kwd lng="es"><![CDATA[enfermedad de orina de jarabe de arce]]></kwd>
<kwd lng="es"><![CDATA[dermatitis]]></kwd>
<kwd lng="es"><![CDATA[aminoácidos]]></kwd>
<kwd lng="es"><![CDATA[errores innatos del metabolismo]]></kwd>
<kwd lng="en"><![CDATA[acrodermatitis]]></kwd>
<kwd lng="en"><![CDATA[maple syrup urine disease]]></kwd>
<kwd lng="en"><![CDATA[dermatitis]]></kwd>
<kwd lng="en"><![CDATA[amino acids]]></kwd>
<kwd lng="en"><![CDATA[inborn errors of metabolism]]></kwd>
</kwd-group>
</article-meta>
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