Phrynoderma and Acquired Acrodermatitis Enteropathica in Breastfeeding Women After Bariatric Surgery

October 2015 in “ Journal der Deutschen Dermatologischen Gesellschaft ”

Babak Itzinger-Monshi, Theresa Stockinger, Kornelia Vigl, Leo Richter, Felix Weihsengruber, Klemens Rappersberger

alopecia hair depigmentation phrynoderma acquired acrodermatitis enteropathica vitamin A deficiency zinc deficiency follicular papules perianal eczema perlèche erythematous plaques hair loss hair color loss skin lesions nutritional deficiency

TLDR Women who had bariatric surgery risk nutritional deficiencies causing skin issues during pregnancy and breastfeeding.

Women who underwent bariatric surgery, specifically Roux-en-Y gastric bypass, were at risk of nutritional deficiencies during subsequent pregnancies, leading to dermatological issues. Two cases were compared: one woman had follicular papules, perianal eczema, perlèche, alopecia, and hair depigmentation due to vitamin A deficiency (phrynoderma), while the other had erythematous plaques, perlèche, diffuse alopecia, and hair depigmentation due to zinc deficiency (acquired acrodermatitis enteropathica). Both lacked follow-up care post-surgery, developed skin lesions as primary symptoms, and experienced symptoms during lactation, indicating a causal relationship. The study emphasized the need for dermatologists to recognize these signs early to prevent harm to both mother and child.

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research Obesity and the Skin

128 citations, September 2011 in “British Journal of Dermatology”

Obesity is linked to various skin problems and may increase the risk of skin cancer.

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