Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric Surgery

Bariatric surgery is one of the most effective treatments currently available for obesity and its derived comorbidities. However, complications may occur, especially when malabsorptive surgeries like a biliopancreatic diversion is performed. We present the case of a female patient whose obesity was...

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Main Authors: Aura D. Herrera-Martínez, Sonia Junquera-Bañares, Lucía Turrión-Merino, Francisco Arrieta-Blanco, José Botella-Carretero, Clotilde Vázquez-Martínez, Alfonso Calañas-Continente
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2021.623543/full
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author Aura D. Herrera-Martínez
Sonia Junquera-Bañares
Lucía Turrión-Merino
Francisco Arrieta-Blanco
José Botella-Carretero
Clotilde Vázquez-Martínez
Alfonso Calañas-Continente
author_facet Aura D. Herrera-Martínez
Sonia Junquera-Bañares
Lucía Turrión-Merino
Francisco Arrieta-Blanco
José Botella-Carretero
Clotilde Vázquez-Martínez
Alfonso Calañas-Continente
author_sort Aura D. Herrera-Martínez
collection DOAJ
description Bariatric surgery is one of the most effective treatments currently available for obesity and its derived comorbidities. However, complications may occur, especially when malabsorptive surgeries like a biliopancreatic diversion is performed. We present the case of a female patient whose obesity was treated with this technique, and in the 9th year of follow-up developed an extensive dermatitis secondary to zinc deficiency and malnutrition, precipitated by therapeutic non-compliance. A close surveillance of early symptoms and signs of nutritional deficiencies as well as chronic supplementation of vitamins and trace elements is required; this case illustrates the relevance of periodical, lifelong visits to a medical physician with special training and experience in the management of post bariatric surgery patients in order to prevent, diagnosis and early treat related complications.
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spelling doaj.art-7af5962376374ed193b763bb7441f3aa2022-12-21T22:17:26ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922021-05-011210.3389/fendo.2021.623543623543Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric SurgeryAura D. Herrera-Martínez0Sonia Junquera-Bañares1Lucía Turrión-Merino2Francisco Arrieta-Blanco3José Botella-Carretero4Clotilde Vázquez-Martínez5Alfonso Calañas-Continente6Endocrinology and Nutrition Service, Reina Sofía University Hospital, Córdoba, SpainEndocrinology and Nutrition Service, Ramón y Cajal University Hospital, Health Research Institute (IRyCIS), Madrid, SpainDermatology Service, Ramón y Cajal University Hospital, Health Research Institute (IRyCIS), Madrid, SpainEndocrinology and Nutrition Service, Ramón y Cajal University Hospital, Health Research Institute (IRyCIS), Madrid, SpainEndocrinology and Nutrition Service, Ramón y Cajal University Hospital, Health Research Institute (IRyCIS), Madrid, SpainEndocrinology and Nutrition Service, Fundación Jimenez Diaz University Hospital, Madrid, SpainEndocrinology and Nutrition Service, Reina Sofía University Hospital, Córdoba, SpainBariatric surgery is one of the most effective treatments currently available for obesity and its derived comorbidities. However, complications may occur, especially when malabsorptive surgeries like a biliopancreatic diversion is performed. We present the case of a female patient whose obesity was treated with this technique, and in the 9th year of follow-up developed an extensive dermatitis secondary to zinc deficiency and malnutrition, precipitated by therapeutic non-compliance. A close surveillance of early symptoms and signs of nutritional deficiencies as well as chronic supplementation of vitamins and trace elements is required; this case illustrates the relevance of periodical, lifelong visits to a medical physician with special training and experience in the management of post bariatric surgery patients in order to prevent, diagnosis and early treat related complications.https://www.frontiersin.org/articles/10.3389/fendo.2021.623543/fullzinc deficiencydermatitissevere malnutritionbariatric surgery complicationsbiliopancreatic diversion
spellingShingle Aura D. Herrera-Martínez
Sonia Junquera-Bañares
Lucía Turrión-Merino
Francisco Arrieta-Blanco
José Botella-Carretero
Clotilde Vázquez-Martínez
Alfonso Calañas-Continente
Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric Surgery
Frontiers in Endocrinology
zinc deficiency
dermatitis
severe malnutrition
bariatric surgery complications
biliopancreatic diversion
title Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric Surgery
title_full Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric Surgery
title_fullStr Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric Surgery
title_full_unstemmed Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric Surgery
title_short Case Report: Extensive Dermatitis Secondary to Severe Malnutrition, Zinc and Vitamin Deficiencies After Malabsorptive Bariatric Surgery
title_sort case report extensive dermatitis secondary to severe malnutrition zinc and vitamin deficiencies after malabsorptive bariatric surgery
topic zinc deficiency
dermatitis
severe malnutrition
bariatric surgery complications
biliopancreatic diversion
url https://www.frontiersin.org/articles/10.3389/fendo.2021.623543/full
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