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

Detalhes bibliográficos
Autor(a) principal: Cunha,Selma Freire de Carvalho
Data de Publicação: 2012
Outros Autores: Gonçalves,Gilson Antônio Pereira, Marchini,Julio Sérgio, Roselino,Ana Maria Ferreira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000500010
Resumo: 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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spelling Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case reportAcrodermatitisZincBariatric surgeryProtein deficiencyJejunoileal bypassGastroplastyCONTEXT: 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.Associação Paulista de Medicina - APM2012-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000500010Sao Paulo Medical Journal v.130 n.5 2012reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802012000500010info:eu-repo/semantics/openAccessCunha,Selma Freire de CarvalhoGonçalves,Gilson Antônio PereiraMarchini,Julio SérgioRoselino,Ana Maria Ferreiraeng2013-08-12T00:00:00Zoai:scielo:S1516-31802012000500010Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2013-08-12T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
title Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
spellingShingle Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
Cunha,Selma Freire de Carvalho
Acrodermatitis
Zinc
Bariatric surgery
Protein deficiency
Jejunoileal bypass
Gastroplasty
title_short Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
title_full Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
title_fullStr Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
title_full_unstemmed Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
title_sort Acrodermatitis due to zinc deficiency after combined vertical gastroplasty with jejunoileal bypass: case report
author Cunha,Selma Freire de Carvalho
author_facet Cunha,Selma Freire de Carvalho
Gonçalves,Gilson Antônio Pereira
Marchini,Julio Sérgio
Roselino,Ana Maria Ferreira
author_role author
author2 Gonçalves,Gilson Antônio Pereira
Marchini,Julio Sérgio
Roselino,Ana Maria Ferreira
author2_role author
author
author
dc.contributor.author.fl_str_mv Cunha,Selma Freire de Carvalho
Gonçalves,Gilson Antônio Pereira
Marchini,Julio Sérgio
Roselino,Ana Maria Ferreira
dc.subject.por.fl_str_mv Acrodermatitis
Zinc
Bariatric surgery
Protein deficiency
Jejunoileal bypass
Gastroplasty
topic Acrodermatitis
Zinc
Bariatric surgery
Protein deficiency
Jejunoileal bypass
Gastroplasty
description 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.
publishDate 2012
dc.date.none.fl_str_mv 2012-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000500010
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000500010
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-31802012000500010
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.130 n.5 2012
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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