Nutrient Deficiency-Related Dermatoses after Bariatric Surgery

Adv Skin Wound Care. 2019 Oct;32(10):443-455. doi: 10.1097/01.ASW.0000579688.97532.18.

Abstract

General purpose: To provide information on obesity, bariatric surgery, and the nutrient deficiency-related dermatoses that may result from these surgeries.

Target audience: This continuing education activity is intended for physicians, physician assistants, NPs, and nurses with an interest in skin and wound care.

Learning objectives/outcomes: After participating in this educational activity, the participant should be better able to:1. Examine issues related to obesity and bariatric surgery.2. Identify the sources and role of specific nutrients.3. Recognize the clinical signs and symptoms of nutrient deficiency following bariatric surgery.

Abstract: Obesity is a global epidemic that increases the risk of weight-related comorbidities in modern society. It is complex, multifactorial, and largely preventable. Noninvasive treatments for obesity include diet, exercise, and medication. However, bariatric surgeries are becoming popular procedures for those who do not achieve success with noninvasive weight management treatment. Bariatric surgeries often result in dietary restriction and/or malabsorption, which lead to drastic weight loss. Individuals who had bariatric surgeries need lifelong follow-up and monitoring to ensure adequate intake of nutrients. Nutrient deficiencies can ensue when long-term vitamin and mineral supplementation is not followed. Severe nutrient deficiencies may lead to dermatoses that can be corrected by nutrient repletion and careful monitoring. A case report of nutrient deficiency-related dermatoses is followed by a review of obesity and its treatments with a focus on bariatric surgeries.

MeSH terms

  • Bariatric Surgery / adverse effects*
  • Deficiency Diseases / etiology
  • Deficiency Diseases / metabolism*
  • Deficiency Diseases / prevention & control*
  • Dietary Supplements
  • Humans
  • Micronutrients / deficiency*
  • Micronutrients / therapeutic use
  • Obesity / metabolism*
  • Obesity / surgery
  • Practice Guidelines as Topic

Substances

  • Micronutrients