• Selma Freire de Carvalho Cunha, Gilson Antônio Pereira Gonçalves, Julio Sérgio Marchini, and Ana Maria Ferreira Roselino.
• Division of Nutrology, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil. sfreire@fmrp.usp.br
• Sao Paulo Med J. 2012 Jan 1; 130 (5): 330335330-5.

ContextNutritional complications may occur after bariatric surgery, due to restriction of food intake and impaired digestion or absorption of nutrients.Case ReportAfter undergoing vertical gastroplasty and jejunoileal bypass, a female patient presented marked weight loss and protein deficiency. Seven months after the bariatric surgery, she presented dermatological features compatible with acrodermatitis enteropathica, as seen from the plasma zinc levels, which were below the reference values (34.4 mg%). The skin lesions improved significantly after 1,000 mg/day of zinc sulfate supplementation for one week.ConclusionsThe patient's evolution shows that the multidisciplinary team involved in surgical treatment of obesity should take nutritional deficiencies into consideration in the differential diagnosis of skin diseases, in order to institute early treatment.

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