This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Charles H. Dicken, MD; James R. Seehafer, MD

Arch Dermatol. 1979;115(7):837-839.

Abstract
We report two cases of a syndrome related to the bowel bypass surgical procedure. This syndrome consists of a flu-like illness, with temperatures from 38.3 to 39.4 °C (101 to 103 °F), chills, malaise, and inflammatory papules and pustules, 2 to 4 mm in diameter, on the extremities and upper part of the trunk. The illness lasts two to six days, and then recurs in one to six weeks. During some episodes, myalgia and polyarthralgia occur; between episodes, joints are normal. In both patients, extensive evaluations had been made to determine the cause of the persistent illness before this distinctive syndrome, related to the bowel bypass surgical procedure, was recognized. These two cases are also illustrative of the two therapeutic approaches that may be of value: administration of antibiotics, especially metronidazole, or reconstitution of the normal bowel anatomy. The relationship of this syndrome to the arthritis associated with bowel bypass and to bypass enteropathy is discussed.

(Arch Dermatol 115:837-839, 1979)

Author Affiliations
From the Department of Dermatology, Mayo Clinic and Mayo Foundation, Rochester, Minn.

Footnotes
Accepted for publication Feb 1, 1979.

Reprint requests to Mayo Clinic, Rochester, MN 55901 (Dr Dicken).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A Crohn's disease patient with pustules and fever
Bouma et al.
Gut 2009;58:1537-1537.
FULL TEXT  

Multiple Papules on the Legs of a Woman
Laochumroonvorapong and Felderman
Arch Dermatol 2002;138:973-978.
FULL TEXT  

First presentation of intestinal bypass syndrome 18 yr after initial surgery
Fisch et al.
Rheumatology (Oxford) 2001;40:351-353.
FULL TEXT  

Bypass Phrynoderma: Vitamin A Deficiency Associated With Bowel-Bypass Surgery
Barr et al.
Arch Dermatol 1984;120:919-921.
ABSTRACT  

Bowel-Bypass Syndrome Without Bowel Bypass: Bowel-Associated Dermatosis-Arthritis Syndrome
Jorizzo et al.
Arch Intern Med 1983;143:457-461.
ABSTRACT  

Necrobiosis Lipoidica Associated With Jejunoileal Bypass Surgery
Clegg et al.
Arch Dermatol 1982;118:135-136.
ABSTRACT  

Cutaneous Lesions After Intestinal Bypass
DRENICK et al.
ANN INTERN MED 1980;93:557-559.
ABSTRACT