Bowel-Associated Dermatosis-Arthritis Syndrome: A Case Report

Authors

Christian J. Scheufele, Medical City Fort WorthFollow
Leisa Hodges, McGuiness Dermatology & Plastic Surgery, Dallas, TXFollow
Aya Hasan, University of North Texas Health Science CenterFollow
Ashleigh E. Workman, Medical City Fort WorthFollow
Peter Malouf, Dr Malouf DermatologyFollow
Stephen E. Weis, Medical City Fort WorthFollow

Keywords

bariatric surgery; gastric bypass; obesity; BADAS; bowel-associated dermatosis-arthritis syndrome; zinc deficiency; adverse effects; case reports

Disciplines

Dermatology

Abstract

Introduction

Gastric bypass surgery is an effective surgical intervention for morbid obesity. However, it is not without risk. Gastric bypass surgery may produce malabsorptive or surgical complications, which can result in nutritional deficiencies as well as syndromes related to bacterial overgrowth in the blind loops of the bowel.

Case Presentation

Severe nutritional deficiencies may occur due to patient noncompliance with the prescribed regimen, or arise secondary to malabsorptive or mechanical surgical complications. We describe a case of a 37-year-old female who underwent gastric bypass surgery and experienced a recalcitrant eczematous eruption with sporadic subcutaneous, purulent nodules which completely resolved after the reversal of her bariatric procedure.

Conclusion

Since 2001, the number of morbidly obese patients who have undergone bariatric surgery has been increasing. As a result, clinicians can expect to more frequently encounter complications that can result from these procedures.

Recommended Citation

Scheufele, Christian J.; Hodges, Leisa; Hasan, Aya; Workman, Ashleigh E.; Malouf, Peter; and Weis, Stephen E. (2024) "Bowel-Associated Dermatosis-Arthritis Syndrome: A Case Report," HCA Healthcare Journal of Medicine: Vol. 5: Iss. 1, Article 4.
DOI: 10.36518/2689-0216.1468
Available at: https://scholarlycommons.hcahealthcare.com/hcahealthcarejournal/vol5/iss1/4