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Vitamin A Deficiency Associated With Bowel-Bypass Surgery

Donald J. Barr, MD; Robert J. Riley, MD; Donald J. Greco, MD

Arch Dermatol. 1984;120(7):919-921.

Abstract
A 41-year-old woman had multiple keratotic papules and nodules on the trunk and extremities four years after a bowel-bypass procedure for morbid obesity. The microscopic features were those of a perforating folliculitis. Serum vitamin A levels were extremely low. Oral vitamin A therapy resulted in dramatic improvement of the cutaneous lesions.

(Arch Dermatol 1984;120:919-921)

Author Affiliations
From the Section of Dermal Pathology and Histochemistry, Department of Dermatology, University of California at Irvine. Dr Riley is currently at US Air Force Regional Hospital, Riverside, Calif. Dr Greco is in private practice in Long Beach, Calif.

Footnotes
Accepted for publication April 18, 1983.

Read in part before the Clinicopathologic Conference, annual meeting of the American Academy of Dermatology, San Francisco, Dec 9, 1981.

Reprint requests to Section of Dermal Pathology and Histochemistry, University of California at Irvine Medical Center, Route 98, 101 City Dr S, Orange, CA 92668 (Dr Barr).

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