“…3 If the desquamation is excessive and dominates the clinical picture, CFNDD is named "peeling paint" rash or "peeling paint" dermatitis ( Figure 1), and protein, zinc, and essential fatty acids deficiencies are significant due to malabsorption and malnutrition. 4,5 Desquamating erythema could be the first cutaneous sign, with periorificial, perineal, and acral distribution, associated with edema (induced by low albumin levels) and alopecia. 3 Histopathologic examination of a skin punch biopsy can reveal non-specific features such as epidermal hyperplasia, parakeratosis, intradermic spongiosis, thin granular layer, and perivascular inflammatory infiltrate with mononuclear cells in the dermis.…”