Abstract
Acrodermatitis enteropathica (AE) is characterized by a constellation of symptoms that result from a deficiency in serum zinc levels. The commonest cause of AE is hereditary autosomal recessive genetic mutations that impair zinc absorption in the small intestine, while acquired causes come second. Liver disease has been implicated in the development of acquired zinc deficiency. Herein, we present a case of AE with severe exfoliative skin lesions that occurred secondary to decompensated liver cirrhosis.