1
|
Sarawgi D, Sen S. Pellagra: forgotten but not gone. QJM 2023; 116:532-533. [PMID: 36857583 DOI: 10.1093/qjmed/hcad032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 02/28/2023] [Indexed: 03/03/2023] Open
Affiliation(s)
- D Sarawgi
- Department of Dermatology, Institute of Post Graduate Medical Education & Research (IPGME&R) and SSKMH, 242 AJC Bose Road, Kolkata 700020, India
| | - S Sen
- Department of Dermatology, Institute of Post Graduate Medical Education & Research (IPGME&R) and SSKMH, 242 AJC Bose Road, Kolkata 700020, India
| |
Collapse
|
2
|
Silva ACF, Kazmarek LM, de Souza EM, Cintra ML, Teixeira F. Dermatological manifestations relating to nutritional deficiencies after bariatric surgery: case report and integrative literature review. SAO PAULO MED J 2022; 140:723-733. [PMID: 36043664 PMCID: PMC9514871 DOI: 10.1590/1516-3180.2021.0616.r1.17022022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 02/17/2022] [Indexed: 11/23/2022] Open
Abstract
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.
Collapse
Affiliation(s)
- Andressa Christine Ferreira Silva
- MD. Physician, Department of Pathology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil
| | - Laura Moya Kazmarek
- MD. Physician, Department of Pathology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil
| | - Elemir Macedo de Souza
- MD, PhD. Associate Professor with Tenure (Phased Retirement), Department of Dermatology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil
| | - Maria Letícia Cintra
- MD, PhD. Professor and Head, Department of Pathology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil
| | - Fernanda Teixeira
- MD, PhD. Consultant Professor, Department of Pathology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-UNICAMP), Campinas (SP), Brazil
| |
Collapse
|
3
|
Xiao H, Jin L, Zhu W, Li F. Chronic diarrhea and pruritic rash related to pellegra after pancreaticoduodenectomy. Nutr Clin Pract 2022; 37:224-225. [PMID: 34981850 DOI: 10.1002/ncp.10818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Hui Xiao
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China.,Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China
| | - Liping Jin
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China.,Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China
| | - Wu Zhu
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China.,Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China
| | - Fangfang Li
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China.,Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China
| |
Collapse
|
4
|
Madhyastha SP, Shetty GV, Shetty VM, Reddy CT. The classic pellagra dermatitis. BMJ Case Rep 2020; 13:13/10/e239741. [DOI: 10.1136/bcr-2020-239741] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
5
|
Sollier C, Barsamian C, Bretault M, Poghosyan T, Rahmi G, Chevallier JM, Bouillot JL, Carette C, Czernichow S, Rives-Lange C. Diagnostic and Therapeutic Management of Post-Gastric Bypass Chronic Diarrhea: a Systematic Review. Obes Surg 2020; 30:1102-1111. [PMID: 31902043 DOI: 10.1007/s11695-019-04253-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
|
6
|
Lee JJ, Mater S, Morillo-Hernandez C, Patton T, Huen AC, Ho J, English JC. Clinical Outcomes of Hospitalized Adult Patients With Dermatologic Manifestations of Protein Malnutrition and Zinc Deficiency. JAMA Dermatol 2019; 155:975-977. [PMID: 31188404 DOI: 10.1001/jamadermatol.2019.0854] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Jonathan J Lee
- Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Sara Mater
- currently a medical student at University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Carlos Morillo-Hernandez
- currently a medical student at University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Timothy Patton
- Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Arthur C Huen
- Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Jonhan Ho
- Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - Joseph C English
- Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| |
Collapse
|
7
|
Scaly Erythematous Acral Eruption. Am J Dermatopathol 2016; 38:77-8. [DOI: 10.1097/dad.0000000000000246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
8
|
Aaseth E, Fagerland MW, Aas AM, Hewitt S, Risstad H, Kristinsson J, Bøhmer T, Mala T, Aasheim ET. Vitamin concentrations 5 years after gastric bypass. Eur J Clin Nutr 2015; 69:1249-55. [PMID: 26081488 DOI: 10.1038/ejcn.2015.82] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Revised: 04/22/2015] [Accepted: 04/23/2015] [Indexed: 12/20/2022]
Abstract
BACKGROUND/OBJECTIVES Few studies have investigated the effects of bariatric surgery on vitamin status in the long term. We examined changes in vitamin status up to 5 years after Roux-en-Y gastric bypass surgery. SUBJECTS/METHODS Using a retrospectively maintained database of patients undergoing weight loss surgery, we identified all patients operated with Roux-en-Y gastric bypass at our tertiary care hospital during July 2004-May 2008. Data on vitamin concentrations and patient-reported intake of dietary supplements were collected up to July 2012. Linear mixed models were used to estimate changes in vitamin concentrations during follow-up, adjusting for age and sex. All patients were recommended daily oral multivitamin, calcium/vitamin D and iron supplements and 3-monthly intramuscular B-12 after surgery. RESULTS Out of the 443 patients operated with gastric bypass, we included 441 (99.5%) patients with one or more measurements of vitamin concentrations (75.1% women; mean age 41.5 years, mean body mass index 46.1 kg/m(2) at baseline). At 5 years after surgery, the patients' estimated mean vitamin concentrations were either significantly higher (vitamin B-6, folic acid, vitamin B-12, vitamin C and vitamin A) or not significantly different (thiamine, 25-hydroxyvitamin D and lipid-adjusted vitamin E) compared with before surgery. Use of multivitamin, calcium/vitamin D and vitamin B-12 supplements was reported by 1-9% of patients before surgery, 79-84% of patients at 1 year and 52-83% of patients 5 years after surgery. CONCLUSIONS In patients who underwent gastric bypass surgery, estimated vitamin concentrations were either significantly increased or unchanged up to 5 years after surgery.
Collapse
Affiliation(s)
- E Aaseth
- Department of Morbid Obesity and Bariatric Surgery, Oslo University Hospital, Oslo, Norway
| | - M W Fagerland
- Oslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Oslo, Norway
| | - A-M Aas
- Department of Nutrition and Dietetics, Oslo University Hospital, Oslo, Norway
| | - S Hewitt
- Department of Morbid Obesity and Bariatric Surgery, Oslo University Hospital, Oslo, Norway
| | - H Risstad
- Department of Morbid Obesity and Bariatric Surgery, Oslo University Hospital, Oslo, Norway
| | - J Kristinsson
- Department of Morbid Obesity and Bariatric Surgery, Oslo University Hospital, Oslo, Norway
| | - T Bøhmer
- Department of Endocrinology, Oslo University Hospital, Oslo, Norway
| | - T Mala
- Department of Morbid Obesity and Bariatric Surgery, Oslo University Hospital, Oslo, Norway
| | - E T Aasheim
- Department of Morbid Obesity and Bariatric Surgery, Oslo University Hospital, Oslo, Norway
| |
Collapse
|
9
|
|
10
|
Halawi A, Abiad F, Abbas O. Bariatric Surgery and Its Effects on the Skin and Skin Diseases. Obes Surg 2013; 23:408-13. [DOI: 10.1007/s11695-012-0859-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
|
11
|
|
12
|
Aasheim ET, Johnson LK, Hofsø D, Bøhmer T, Hjelmesæth J. Vitamin status after gastric bypass and lifestyle intervention: a comparative prospective study. Surg Obes Relat Dis 2012; 8:169-75. [DOI: 10.1016/j.soard.2011.01.038] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2010] [Revised: 01/13/2011] [Accepted: 01/28/2011] [Indexed: 01/21/2023]
|
13
|
A 41-Year-Old Woman With a Scaly Erythematous Plaque Admixed With Erosions on the Groin, Back, and Legs: Answer. Am J Dermatopathol 2010. [DOI: 10.1097/dad.0b013e3181f4db68] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|