case_study
    2015

    Phrynoderma and acquired acrodermatitis enteropathica in breastfeeding women after bariatric surgery

    Monshi B, et al.

    Published in Journal der Deutschen Dermatologischen Gesellschaft

    Methodology

    Clinical case report with dermatological examination, micronutrient laboratory testing and follow-up after supplementation in two post-bariatric breastfeeding women.

    Key Findings

    Two breastfeeding women who had undergone bariatric surgery developed phrynoderma (follicular hyperkeratosis from vitamin A deficiency) and acquired acrodermatitis enteropathica (zinc deficiency); both skin conditions resolved rapidly after targeted vitamin A and zinc repletion.

    Conclusions

    Post-bariatric patients, especially while breastfeeding, are at risk of severe micronutrient deficiency dermatoses that reverse quickly with supplementation - a case for routine monitoring rather than evidence of general supplement benefit.

    Limitations

    Two-patient case report with no control or comparison; cannot estimate incidence or generalise; deficiency confirmed clinically and biochemically but treatment response is uncontrolled.

    Supplements Studied

    Vitamin A
    Vitamin

    Based on clinical and histopathological findings, decreased vitamin A (patient 1) and zinc levels (patient 2), we diagnosed phrynoderma and acquired acrodermatitis enteropathica, respectively.

    Zinc
    Mineral

    Based on clinical and histopathological findings, decreased vitamin A (patient 1) and zinc levels (patient 2), we diagnosed phrynoderma and acquired acrodermatitis enteropathica, respectively.

    Related Health Concerns

    Study Details

    Year:2015
    Sample Size:2
    Quality Score:3/10

    Disclosures

    Funding

    None reported

    This information is for educational purposes only. Always consult a healthcare professional before starting any supplement regimen.