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Harry L. Wechsler, MD

Arch Dermatol. 1979;115(1):73-75.

Abstract
Side effects are common in individuals who have undergone small-bowel bypass surgery for morbid obesity. Most of these side effects subside after a few months. More serious complications may require reestablishment of the bypassed loop. Rarely have vitamin deficiencies been observed. Development of vitamin A deficiency in a patient was characterized by phrynoderma and night blindness. This was promptly reversed by oral treatment with vitamin A. There was no improvement in low to subnormal serum levels of fat-soluble vitamins after a course of tetracycline hydrochloride. Studies suggested presence of a malabsorption state probably due to rapid transit time through the small bowel and reduced absorptive surface.

(Arch Dermatol 115:73-75, 1979)

Author Affiliations
From the Division of Dermatology of Western Pennsylvania Hospital and University of Pittsburgh School of Medicine.

Footnotes
Accepted for publication July 28, 1978.

Reprint requests to 502 Fifth Ave, McKeesport, PA 15132 (Dr Wechsler).

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