Clinical Relevancy Statement

This case report shows that a zinc deficiency may arise even if patients are receiving adequate enteral nutrition (EN). Zinc deficiency may lead to complications such as acrodermatitis enteropathica. Monitoring micronutrient levels in patients receiving long-term EN may aid in the identification of deficiencies early enough to avoid the consequences that can arise from them. Case Presentation A 91-year-old female nursing home resident with a medi-cal history of chronic renal insufficiency, pulmonary hypertension, hyperlipidemia, dementia, coronary artery disease, respiratory failure status post tracheostomy, multiple decubitus ulcers, and percutaneous endoscopi