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Document Details :
Title: Ernstige vitaminetekorten na bariatrische heelkunde
Author(s): DE COSTER V, LANNOO M, VAN DER SCHUEREN B, VERMEIRE S
Journal: Tijdschrift voor Geneeskunde
Volume: 68 Issue: 17 Date: 2012
Severe vitamin deficit after bariatric surgery, presenting as BADAS (bowel-associated dermatosis-arthritis syndrome)
In this manuscript, three patients with a history of bariatric surgery are reported. They all presented with diarrhea, arthritis and erythema nodosum, suggesting underlying inflammatory bowel disease. Investigation revealed severe vitamin deficiencies related to the bariatric surgery. After substitution, mainly of the vitamin A deficiency, a complete regression of the symptoms occurred.
This entity is described as BADAS (bowel-associated dermatosis-arthritis syndrome) in literature. These cases clearly illustrate that a good clinical and laboratory follow-up of patients after bariatric surgery (restrictive as well as malabsorptive) should be continued and that vitamin substitution should be installed.