Acquired acrodermatitis enteropathica after gastric bypass surgery responsive to IV supplementation

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Acquired acrodermatitis enteropathica after gastric bypass surgery responsive to IV supplementation

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Title: Acquired acrodermatitis enteropathica after gastric bypass surgery responsive to IV supplementation
Author: Rana, Jasmine Kaur; Plovanich, Molly Elizabeth; Wallace, Elizabeth B; Yang, Chao Hui; Canales, Alvaro Laga; Mostaghimi, Arash

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Citation: Rana, Jasmine, Molly Plovanich, Elizabeth B. Wallace, Chao Yang, Alvaro Laga Canales, and Arash Mostaghimi. "Acquired acrodermatitis enteropathica after gastric bypass surgery responsive to IV supplementation." Dermatology Online Journal 22, no. 11 (2016).
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Abstract: Nutritional deficiency is rare in developed countries, but can be acquired from decreased nutrient intake, reduced absorption, and increased gastrointestinal excretion. We report a patient with acquired acrodermatitis enteropathica (AE) who exhibited low plasma zinc levels and concurrent nutritional deficiencies (pyridoxine, selenium and fatty acids). Our patient had undergone Roux-en-Y gastric bypass 13 years prior to presentation. The rash, consistent with AE clinically and histologically, nearly resolved one week after starting IV zinc supplementation, total parenteral nutrition, and micronutrient supplements. This case highlights the importance of long-term post-operative follow-up for gastric bypass patients who are at high risk for micronutrient and macronutrient deficiencies and illustrates the potential for rapid improvement with IV supplementation.
Published Version: http://escholarship.org/uc/item/50v2f3mb
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:33785896
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