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Obesity Surgery

Intestinal bypass syndrome presents as erythema nodosum

Published in Obesity and Diabetes Week, June 28th, 2004

Researchers report a case of intestinal bypass syndrome presenting as erythema nodosum.

According to a study from Wales, "Intestinal bypass was a popular surgical procedure for morbid obesity resulting, on average, in a 50-kg weight loss. We describe a 66-year-old woman who underwent the procedure 12 years earlier and subsequently presented with recurrent episodes of erythema nodosum-like lesions. Further investigations revealed hyperoxaluria, renal failure, deficiency of fat-soluble vitamins (causing night blindness, osteomalacia, and easy bruising), and anemia."

"Antibiotics led to only temporary remission and, as with 24-30% of similar cases, she...

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