Dermatitis and optic neuropathy due to zinc deficiency after malabsortive bariatric surgery

Nutr Hosp. Jul-Aug 2013;28(4):1345-7. doi: 10.3305/nh.2013.28.4.6606.

Abstract

We present a patient who underwent successful classic duodenal switch and developed a marked dermatitis with a significant functional limitation. This is an unusual complication, despite the relatively moderate prevalence of nutrient deficiency after this type of bariatric surgery. We discuss possible pathogenic mechanisms and emphasize the importance of an appropriate nutritional management.

Se presenta el caso de una mujer sometida a cirugía bariátrica malabsortiva que desarrolló una llamativa dermopatía y neuropatía secundarias al déficit de zinc. Se trata de una complicación muy poco frecuente, a pesar de la prevalencia de déficit de micronutrientes que se ha observado tras este tipo de intervención. Se discute la patogenia y se recalca el papel del correcto manejo nutricional como tratamiento eficaz.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bariatric Surgery / adverse effects*
  • Body Mass Index
  • Dermatitis / etiology*
  • Dermatitis / therapy*
  • Female
  • Humans
  • Obesity, Morbid / complications
  • Obesity, Morbid / surgery
  • Optic Nerve Diseases / etiology*
  • Optic Nerve Diseases / therapy*
  • Parenteral Nutrition, Total
  • Postoperative Complications / metabolism
  • Zinc / deficiency*

Substances

  • Zinc