Bowel bypass syndrome
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
Dicken and Seehofer 1979.
A dermatosis with systemic symptoms occurring in obese patients after ileo-jejunal bypass surgery. BADAS is one of the classic neutrophilic dermatoses.
Approximately 20% of all patients who have ileojejunal bypass surgery.
After an artificial short bowel is created, large parts of the small bowel are bypassed.
- Erythematous, coarse papules and pustules localised to the trunk as well as the upper and lower extremities
- Flu-like symptoms, joint symptoms (due to circulating immune complexes and cryoglobulins) cryoglobulinemia, tendinitis
- The disease may be associated with xerosis cutis, erythema nodosum and acrodermatitis enteropathica-like skin lesions
- History (Ileojejunal bypass surgery?)
- Histopathological findings
Suspiciously many neutrophilic granulocytes, papillary oedema, sometimes suggested subepidermal vesicle formation, pustules, necrotising vasculitis.
Spontaneous healing as well as long-term, intermittent courses have been described.
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