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Third reported case of rare necrolytic migratory erythema associated with bacteraemia due to severe zinc deficiency after revisional Roux-En-Y gastric bypass: case report and literature review
Department of Bariatric Surgery/Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar.
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Surgery, Hamad General Corporation, Doha ; College of Medicine, Qatar University, Doha, Qatar. (Medborgarcentrerad hälsa MeCH, Research on Citizen Centered Health, University of Skövde (Reacch US))ORCID iD: 0000-0003-0961-1302
Department of Family Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar.
Department of Bariatric Surgery/Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar.
2022 (English)In: Eating and Weight Disorders, ISSN 1124-4909, E-ISSN 1590-1262, Vol. 27, no 3, p. 1235-1241Article, review/survey (Refereed) Published
Abstract [en]

INTRODUCTION: Obesity is a risk factor for zinc deficiency. After bariatric surgery, non-compliance to diet/vitamin supplements, surgical complications leading to vomiting/diarrhea, poor follow-up and malabsorption can precipitate or exacerbate pre-existing zinc deficiency.

CASE REPORT: We report a patient with rare necrolytic migratory erythema associated with bacteraemia due to severe zinc deficiency after revisional Roux-en-Y gastric bypass (following primary laparoscopic sleeve gastrectomy).

CONCLUSION: Bariatric teams should screen patients before bariatric surgery for nutritional deficiencies and continue surveillance of their nutritional status after surgery. They should maintain a high index of suspicion for zinc deficiency in patients with skin rash after bariatric surgery.

LEVEL OF EVIDENCE: Level V, case report.

Place, publisher, year, edition, pages
Springer, 2022. Vol. 27, no 3, p. 1235-1241
Keywords [en]
Bacteraemia, Necrolytic migratory erythema, Revisional Roux-En-Y gastric bypass, Zinc deficiency
National Category
Surgery
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
URN: urn:nbn:se:his:diva-19774DOI: 10.1007/s40519-021-01154-zISI: 000656764400001PubMedID: 34061321Scopus ID: 2-s2.0-85107384760OAI: oai:DiVA.org:his-19774DiVA, id: diva2:1563530
Note

CC BY 4.0

Published: 01 June 2021 [ahead of print]

Correspondence to Walid El Ansari.

Open access funding provided by Qatar National Library.

Available from: 2021-06-10 Created: 2021-06-10 Last updated: 2022-04-19Bibliographically approved

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El Ansari, Walid

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