Post-bariatric surgery hidradenitis suppurativa: a new patient subset associated with malabsorption and micronutritional deficiencies

Garcovich, Simone; Simone, Clara De; Giovanardi, Giulia; Robustelli, E.; Marzano, Angelo Valerio; Peris, Ketty

doi:10.1111/ced.13732

Cited by 21 publications

(18 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a retrospective study showed that post-BS, HS patients presented with micro-nutritional deficiencies and insufficient responses to standard first-line antibiotic treatments. Zinc was found to be at significantly lower serum levels in post-BS patients with HS compared to those patients with HS who had not undergone BS 27 . A recent systematic review also found that a subset of HS patients after BS had a significant increase in panniculus and experienced HS exacerbations in the excess panniculus, requiring excision of loose skin 28 .…”

Section: Pathophysiology and Triggers Of Hsmentioning

confidence: 80%

The most recent advances in understanding and managing hidradenitis suppurativa

2020

View full text Add to dashboard Cite

Hidradenitis suppurativa (HS) is a chronic, inflammatory, recurrent, and debilitating skin disease of the hair follicle unit that typically develops after puberty. HS has a significant negative impact on both the quality of life (QOL) of patients affected by this disease as well as family members and caregivers. However, the pathogenesis of HS is multifactorial and still remains to be fully elucidated, which makes the development of treatments difficult. The last 10 years have seen a surge in HS research, and many new findings have come to light, yet much more remains to be elucidated. Physicians must employ a multidisciplinary approach to maximally address all facets of HS. Clinical characteristics of the disease that differ between females and males as well as across different races and ethnic groups must be considered. Targeted topical, oral, and injectable therapies continue to be developed for HS as a greater understanding of the pathogenesis is reached. However, randomized controlled trials regarding dietary factors that may contribute to HS are needed to meet our patients’ growing concerns and questions about the role of diet in HS pathogenesis. Finally, improved outcome measures are needed to standardize HS severity and grading between physicians and clinical trials, and a more diverse representation of HS populations is needed in clinical trials.

show abstract

Section: Pathophysiology and Triggers Of Hsmentioning

confidence: 80%

The most recent advances in understanding and managing hidradenitis suppurativa

2020

View full text Add to dashboard Cite

show abstract

“…Hidradenitis suppurativa and psoriasis can remain the same, worsen, or improve after bariatric surgery. Diabetic skin changes, such as acanthosis nigricans and necrobiosis lipoidica, can improve [ 1 , 3 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…The four common types of weight loss surgery include duodenal switch with biliopancreatic diversion, laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass, and sleeve gastrectomy. Bariatric surgery not only can affect the skin, but also can cause or modify cutaneous diseases [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Bariatric Surgery-Induced Telogen Effluvium (Bar SITE): Case Report and a Review of Hair Loss Following Weight Loss Surgery

Cohen-Kurzrock¹,

Cohen²

2021

Cureus

View full text Add to dashboard Cite

show abstract

“…The most specific adverse skin reactions to this intervention include bowel-associated dermatosis and arthritis syndrome, erythematous macular eruption with a neutrophilic infiltrate, non-pruritic papular eruption with IgG and C3 deposition, and erythema nodosum ( 71 , 72 ). In addition, a new subset of HS associated with malabsorption and deficiency in micronutrients has been described ( 73 ). Zinc deficiency resulting from malabsorption in bariatric surgery has been linked to the development of the rare condition known as necrotic migratory erythema ( 74 ).…”

Section: Adverse Skin Reaction To Anti-obesity Treatmentmentioning

confidence: 99%

The Link Between Obesity and the Skin

2022

View full text Add to dashboard Cite

Obesity as a multi-organ disease that affects the entire human organism. Notably, the skin is no exclusion from this postulate. Skin changes in obese patients have been widely studied with regards to mechanical friction, skin infections, and skin hypertrophic conditions, such as acanthosis nigricans and, most commonly, fibromas (skin tags). Almost 60–70% of obese patients present with a variety of skin changes. Herein, we discuss our own experience and review the complex skin changes in obesity. The role of metabolic syndrome and obesity are responsible for the epidemiological prevalence and are involved in the pathogenesis of chronic inflammatory skin diseases, such as psoriasis, atopic dermatitis, and skin malignancies. Here, we comment on the role of nutritional interventions in these patients as it has been proven that low-calorie diet and weight loss is related to improvement of inflammatory skin diseases. The readership of this paper will receive up-to-date overview on the connection between obesity and the skin that is of a practical importance to any clinician working in the field.

show abstract

Post-bariatric surgery hidradenitis suppurativa: a new patient subset associated with malabsorption and micronutritional deficiencies

Abstract: Post-BS HS may represent a new patient subset, requiring customized clinical management.

Cited by 21 publications

References 23 publications

The most recent advances in understanding and managing hidradenitis suppurativa

The most recent advances in understanding and managing hidradenitis suppurativa

Bariatric Surgery-Induced Telogen Effluvium (Bar SITE): Case Report and a Review of Hair Loss Following Weight Loss Surgery

The Link Between Obesity and the Skin

Contact Info

Product

Resources

About