Intestinal bypass syndrome presenting as erythema nodosum

Katugampola, R.; Patel, Girish Khandubhai; Farrell, Anne M.

doi:10.1111/j.1365-2230.2004.01476.x

Cited by 10 publications

(5 citation statements)

References 10 publications

(69 reference statements)

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“…gastric banding) and also because a considerable proportion of patients experiences side‐effects such as polyarthritis, tenosynovitis, myalgia, fever, anaemia and renal failure. This condition, known as bowel‐associated dermatosis and arthritis syndrome, 134 often responds to antibiotic therapy 135–138 . Cutaneous features are also found with postjejunoileal bypass surgery, including a pustular erythematous macular eruption with a neutrophilic infiltrate similar to Sweet syndrome, 135–137 a nonpruritic papular eruption with IgG and C3 deposition, 135 and erythema nodosum 135–138 …”

Section: Cutaneous Complications Of Treatments For Obesitymentioning

confidence: 99%

Obesity and the skin

Shipman

Millington

2011

British Journal of Dermatology

132

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Obesity is a serious global health problem, perhaps the biggest public health issue of our times. Excess body weight may be a factor in carcinogenesis in general, as well as contributing to the pathogenesis of metabolic, cardiovascular and musculoskeletal disorders. Obesity also has many cutaneous features, which form the basis for this review article. Many of these clinical entities are common to the majority of obese patients, e.g. striae distensae, plantar hyperkeratosis and an increased risk of skin infections. However, it may also be associated with poor wound healing, malignant melanoma and an increased risk of inflammatory dermatoses, such as psoriasis, as well as some rarer disorders. Therapeutic interventions for obesity, whether over-the-counter, prescription medicines or surgical interventions, are increasingly commonplace. All of these treatment modalities potentially have dermatological side-effects too.

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Section: Cutaneous Complications Of Treatments For Obesitymentioning

confidence: 99%

Obesity and the skin

Shipman

Millington

2011

British Journal of Dermatology

132

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“…77,87 As demonstrated in Table 1, among the 41 patients selected, 27 had systemic manifestations and these were potentially fatal or fatal in 11 patients. 37,41,43,[46][47]49,50,61,65,67 Although not the purpose of this review, it is also necessary to consider that there are cutaneous manifestations that occur after bariatric surgery, which are not due to nutritional deficiency. On the contrary, these are due to excessive replacement of micronutrients, a situation seen with relative frequency in patients in the late postoperative period of bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

Dermatological manifestations relating to nutritional deficiencies after bariatric surgery: case report and integrative literature review

et al. 2022

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BACKGROUND: The number of bariatric surgeries performed worldwide is growing. Among the main short, medium or long-term complications after surgery are nutritional deficiencies. Many of these, such as those of Zn, Cu and vitamins A, B1, B3, B6 and B12, are manifested by dermatological lesions before potentially fatal systemic disorders occur. OBJECTIVE: To identify the main dermatological manifestations associated with nutritional deficiencies after bariatric surgery, and the associated variables. DESIGN AND SETTING: Integrative literature review carried out at a public university in Brazil. METHODS: This was a case report and a review of health research portals and databases of national and international biomedical journals, without publication date limitation. The descriptors used for searches followed the ideal methodology for each database/search portal: "bariatric surgery", "skin", "skin disease", "skin manifestation", "deficiency disease" and "malnutrition". RESULTS: A total of 59 articles were selected, among which 23 were review articles or articles that addressed specific dermatological manifestations. The other 36 articles described 41 cases, which were organized into a table with the clinical variables. CONCLUSIONS: Although nutritional deficiencies are expected as complications after bariatric surgery, few articles relating them to their dermatological manifestations were found. It is important to recognize skin changes caused by nutritional deficiencies in patients treated via bariatric surgery, as these may occur before systemic complications appear and are easier to diagnose when the patient does not have any systemic symptoms yet. However, there is generally a delay between the appearance of skin lesions and making the diagnosis of nutritional deficiency.

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“…It can present following either intestinal bypass surgery or sleeve gastrectomy. Less common disorders include angiosarcoma, dermatitis herpetiformis, and vasculitis (such as Henoch-Schonlein purpura) [4][5][6]8].…”

Section: Discussionmentioning

confidence: 99%

“…The four common types of weight loss surgery include duodenal switch with biliopancreatic diversion, laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass, and sleeve gastrectomy. Bariatric surgery not only can affect the skin, but also can cause or modify cutaneous diseases [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%