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Severe Vitamin A Deficiency After Biliopancreatic Diversion.
- Source :
-
Journal of investigative medicine high impact case reports [J Investig Med High Impact Case Rep] 2019 Jan-Dec; Vol. 7, pp. 2324709619888051. - Publication Year :
- 2019
-
Abstract
- Biliopancreatic diversion is a surgical procedure that causes weight loss via volume restriction and malabsorption. It is now rarely performed due to the risk of severe nutritional deficiencies including vitamin A. We report a case of severe vitamin A deficiency due to malabsorption from a biliopancreatic diversion procedure for weight loss. By the time the patient presented to our department, she had developed blindness refractory to parenteral vitamin A treatment. A unique feature of her case is the development of a rash with vitamin A injections. This reaction has only been reported in one case series of 3 patients in the published literature. Her case highlights the importance of vitamin deficiency screening in patients after bariatric surgery, and her skin reaction to the injections is a unique side effect that is not frequently observed.
- Subjects :
- Aged
Bariatric Surgery adverse effects
Blindness drug therapy
Exanthema etiology
Female
Humans
Injections, Intramuscular adverse effects
Malabsorption Syndromes etiology
Postoperative Complications etiology
Vitamin A Deficiency drug therapy
Weight Loss
Biliopancreatic Diversion adverse effects
Blindness etiology
Malabsorption Syndromes complications
Vitamin A administration & dosage
Vitamin A Deficiency etiology
Subjects
Details
- Language :
- English
- ISSN :
- 2324-7096
- Volume :
- 7
- Database :
- MEDLINE
- Journal :
- Journal of investigative medicine high impact case reports
- Publication Type :
- Academic Journal
- Accession number :
- 31711316
- Full Text :
- https://doi.org/10.1177/2324709619888051