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

Cunha, Selma Freire de Carvalho da; Gonçalves, Gilson Antonio Pereira; Marchini, Júlio Sérgio; Roselino, Ana Maria Ferreira

doi:10.1590/s1516-31802012000500010

Cited by 14 publications

(11 citation statements)

References 23 publications

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“…Oxidative stress (which can increase after repeated infections and surgical operations) creates an increased metabolic demand for antioxidants 25,28. For this reason, the Zn concentration in the body decreases 28. In our study, the concentration of Zn increased after 26 days of exposure to high-voltage ELF-EMFs (Group I), and 52 days of exposure to high-voltage ELF-EMFs decreased the concentration of Zn (Group V).…”

Section: Discussionmentioning

confidence: 45%

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Effect of electromagnetic fields and antioxidants on the trace element content of rat teeth

Doğan¹,

Yavaş

Yavuz³

et al. 2017

DDDT

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The purpose of this study was to examine the possible effect of extremely low-frequency electromagnetic fields (ELF-EMFs), from a high-voltage source, on rat teeth in terms of changes in trace elements (TEs) and the effect of antioxidants (melatonin [MLT] and Ganoderma lucidum [GL]) in counteracting these effects. We used adult male Wistar albino rats with a mean weight of 250–300 g and divided the rats into eight groups. The groups were subjected to an ELF-EMF that was applied with a high-voltage line for 8 hours/day for 26 days (Groups I, II, and III) or 52 days (Groups V, VI, and VII). Groups IV and VIII were the 26- and 52-day control/sham groups, respectively. Groups II and VI were treated with GL, and Groups III and VII were treated with MLT. MLT and GL were administered daily based on the weight of the animals and appropriate standards. At the end of the study, the rats were euthanized, and their anterior teeth were extracted. The teeth were preserved in pure water before evaluating the major TEs. At the end of the study, TE concentrations (in mg/kg) were assessed in the control and test groups. Compared with Group V, statistically significant differences in the concentrations of zinc (Zn) and strontium (Sr) were found for Group VII (ELF-EMF + MLT) (P<0.05). Therefore, ELF-EMF exposure can change the content of certain TEs in teeth and, after administering MLT and GL, the values of some of the TEs return to normal.

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Section: Discussionmentioning

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Effect of electromagnetic fields and antioxidants on the trace element content of rat teeth

Doğan¹,

Yavaş

Yavuz³

et al. 2017

DDDT

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“…There have been case reports of patients who have developed acrodermatitis following zinc deficiency caused by bariatric surgery. 49,50 Copper. Copper is widely available in the diet but absorption occurs in the stomach and proximal duodenum and thus deficiency can occur in bariatric procedures such as a gastric bypass.…”

Section: Micronutrients Vitamins and Mineralsmentioning

confidence: 99%

Biochemical consequences of bariatric surgery for extreme clinical obesity

2015

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Obesity, defined as a body mass index over 30 kg/m(2) for adults, poses a major healthcare challenge with important economic, personal and social consequences. Although public health measures, lifestyle change and pharmacological therapies have an important role in the management of obesity, patients with established morbid obesity (body mass index over 40 kg/m(2)) may also require bariatric surgery. Bariatric or metabolic surgery is associated with effective and enduring weight loss but is also known to improve glucose homeostasis, blood pressure and dyslipidaemia. Patients who have bariatric surgery need lifelong clinical follow-up to identify and prevent nutritional deficiencies and other complications. Clinical biochemistry laboratories have an important role in the nutritional assessment of obese patients and in the identification of complications following bariatric surgery. The aim of this article is to review the different bariatric procedures available and to summarize their complications, especially nutrient deficiencies and those of particular relevance to clinical biochemistry laboratories.

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“…Other investigators have reported micronutrient deficiencies including the water-soluble vitamins thiamine, B 12 , folate, and C, as well as the fat-soluble vitamins D, A, and K. 28 Commonly reported mineral deficiencies include iron, zinc, calcium, and copper 28,29 ; however, altered digestion and absorption of virtually any micronutrient may occur following surgery. Investigators have described a variety of nutritional aberrations, including zinc deficiency associated with acrodermatitis, 30 iron deficiency associated with anemia, 31 and vitamin A deficiency associated with low serum prealbumin. Investigators have described a variety of nutritional aberrations, including zinc deficiency associated with acrodermatitis, 30 iron deficiency associated with anemia, 31 and vitamin A deficiency associated with low serum prealbumin.…”

Section: Micronutrient Deficienciesmentioning

confidence: 99%

Nutrition Support for the Critically Ill, Post–Bariatric Surgery Patient

Thompson¹

2014

Topics in Clinical Nutrition

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The increase of bariatric surgery patients implies that more of them will present to intensive care units with altered gastrointestinal anatomy. Intensive care unit patients who have a history of recent or previous bariatric surgery comprise a unique population for conducting nutritional assessments and developing nutrition care plans. An assumption that such patients can automatically be assigned to guidelines intended for critically ill obese patients is problematic. Limited research exists to define appropriate nutrition support practice in the postbariatric population. This review provides an overview of bariatric surgical procedures with an emphasis on the sequelae of altered gastrointestinal anatomy, the evaluation of current evidence on providing nutrition support to critically ill patients who have a history of bariatric surgery, and to update clinical guidelines for delivering nutrition support to these patients.

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

Abstract: 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.

Cited by 14 publications

References 23 publications

Effect of electromagnetic fields and antioxidants on the trace element content of rat teeth

Effect of electromagnetic fields and antioxidants on the trace element content of rat teeth

Biochemical consequences of bariatric surgery for extreme clinical obesity

Nutrition Support for the Critically Ill, Post–Bariatric Surgery Patient

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