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.

View this study on onlinelibrary.wiley.com →

Discuss this study in the Community →

Research cited in this study

1 / 1 results

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.

Related Community Posts Join

6 / 1000+ results

community Hair repigmentation of poliosis circumscripta in androgenetic alopecia patient treated with exosomes and fractional picosecond laser

in Product 2 upvotes 6 months ago

Exosomes combined with fractional picosecond laser treatment were effective in treating androgenetic alopecia and promoting repigmentation in white hair patches. The role of exosomes in hair repigmentation, particularly in conditions like poliosis, is not well-studied.

community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 1 month ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community A preliminary study on topical cetirizine in the therapeutic management of androgenetic alopecia.

18 upvotes 7 years ago

The conversation discusses using topical cetirizine as a treatment for androgenetic alopecia (hair loss). Specific treatments mentioned include Minoxidil, finasteride, and RU58841.

community 1% cetirizine (available in allergy medicines) for androgenetic alopecia

53 upvotes 4 years ago

The conversation discusses using 1% cetirizine, an antihistamine, as a potential treatment for androgenetic alopecia (hair loss). One user plans to try cetirizine instead of finasteride, while others are curious or skeptical about its effectiveness, discussing the role of inflammation in hair loss.

community Triple Hair TH-16 released. Thoughts and opinions?

in Product 37 upvotes 3 years ago

Triple Hair's TH-16, a product claimed to be more effective than Minoxidil 5%, has been released; it contains melatonin and resveratrol. One user reported success with topical melatonin and dermarolling.

community Is this a male pattern baldness or diffuse baldness?

in General 144 upvotes 1 month ago

A 23-year-old male experienced sudden hair loss over six months, losing about 30% of his hair. Treatments include 10% minoxidil, a hair spray, and a vitamin pill; opinions on the cause vary between normal hair loss due to deficiencies and male pattern baldness.