第三例报道的与严重锌缺乏相关的移行性坏死性红斑相关的菌血症：再手术 Roux-en-Y 胃旁路术后病例报告和文献复习。
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.
机构信息
Department of Bariatric Surgery/Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar.
Department of Surgery, Hamad General Hospital, Hamad Medical, Doha, State of Qatar.
出版信息
Eat Weight Disord. 2022 Apr;27(3):1235-1241. doi: 10.1007/s40519-021-01154-z. Epub 2021 Jun 1.
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.
简介
肥胖是锌缺乏的一个危险因素。在接受减重手术后，由于不遵守饮食/维生素补充规定、导致呕吐/腹泻的手术并发症、随访不良和吸收不良，可能会引发或加重先前存在的锌缺乏症。
病例报告
我们报告了一例罕见的坏死性游走性红斑病例，该患者因严重锌缺乏导致菌血症，继发于 Roux-en-Y 胃旁路术（在初次腹腔镜袖状胃切除术后）的修正术后。
结论
减重手术团队应在手术前对患者进行营养缺乏筛查，并在手术后继续监测其营养状况。对于减重手术后出现皮疹的患者，应保持对锌缺乏症的高度怀疑。
证据等级
五级，病例报告。
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