Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report

Sao Paulo Medical Journal

Selma Freire De Carvalho Cunha²  Gilson Antônio Pereira Gonçalves¹  Julio Sérgio Marchini¹  Ana Maria Ferreira Roselino¹ 

[1] ,Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto Division of NutrologyRibeirão Preto São Paulo ,Brazil

关键词: Acrodermatitis;    Zinc;    Bariatric surgery;    Protein deficiency;    Jejunoileal bypass;    Gastroplasty;    Acrodermatite;    Zinco;    Cirurgia bariátrica;    Deficiência de proteína;    Derivação jejuno-ileal;    Gastroplastia;   

DOI  :  10.1590/S1516-31802012000500010

来源: SciELO

【 摘 要 】

CONTEXT: Nutritional complications may occur after bariatric surgery, due to restriction of food intake and impaired digestion or absorption of nutrients. CASE REPORT: After undergoing vertical gastroplasty and jejunoileal bypass, a female patient presented marked weight loss and protein deficiency. Seven months after the bariatric surgery, she presented dermatological features compatible with acrodermatitis enteropathica, as seen from the plasma zinc levels, which were below the reference values (34.4 mg%). The skin lesions improved significantly after 1,000 mg/day of zinc sulfate supplementation for one week. CONCLUSIONS: The patient's evolution shows that the multidisciplinary team involved in surgical treatment of obesity should take nutritional deficiencies into consideration in the differential diagnosis of skin diseases, in order to institute early treatment.

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