Hi Everyone. I'm 3 years post-op from a full gastric bypass. Over the last year I've seen a major shift in my health. I had an attack of vasculitis on my leg, random rashes, acne and other problems with skin breakouts (in my hair too!), anxiety/depression, fatigue, infections (bacterial and fungal) and now strange itchy rashes on my arms!

I've been tested for all types of immune disorders and nothing. I'm thinking it's related to one or more mineral/vitamin deficiencies. Anyone experienced similar, and if so what was the end problem? Thanks!

CHART 1 Correlation of nutrient deficiency and its cutaneous repercussions NUTRIENT
Biotin	Alopecia, glossitis, keratosis pilaris, periorificial dermatitis, seborrheic dermatitis and erythroderma
Copper	Depigmented and thinning hair, alopecia, delayed wound healing
Iron	Pallor, koilonychia, glossitis, alopecia
Selenium	Delayed wound healing, psoriasis, skin cancer
Vitamin A or Retinol	Xeroderma, acne, brittle hair, and keratotic follicular papules most commonly in the anterolateral surface of thighs and arms, which may spread to the extensor areas of the upper and lower limbs, shoulders, abdomen, dorsal region, buttocks and neck; phrynoderma
Vitamin B2 or Riboflavin	Mucositis, lip and angular cheilitis, glossitis, xerosis, seborrheic dermatitis, scrotal and vulvar eczema, erythroderma and toxic epidermal necrolysis.
Vitamin B3 or Niacin	Pellagra, photosensitive dermatitis in symmetric areas, cheilitis, glossitis.
Vitamin B5 or Pantothenic acid	Purpura, leukotrichia, seborrheic dermatitis, angular stomatitis and glossitis. Burning feet syndrome.
Vitamin B6 or Pyridoxine	Seborrheic dermatitis, glossitis, oral mucosa ulceration, lip and angular cheilitis, photosensitive pellagra-like lesions
Vitamin B9 or Folic acid and B12 or Cobalamin	Lip or angular cheilitis, Hunter's glossitis; diffuse, symmetric hair and mucocutaneous hypo-and hyperpigmentation
Vitamin C or Ascorbic acid	Poor wound healing, keratosis pilaris, perifollicular petechiae, ecchymosis, purpura, brittle hair, scurvy (gingivitis, bleeding gums, keratosis pilaris), Sjogren-like syndrome
Vitamin D	Atopic dermatitis, psoriasis, skin infections, acne, autoimmune cutaneous diseases and skin cancer.
Vitamin E	Atopic dermatitis, acne.
Vitamin K	Purpura, petechiae, ecchymosis, hematoma
Zinc	Acrodermatitis enteropathica (alopecia, acral and periorificial symmetric, erosive and eczematous rash), dry, brittle and thinning hair, delayed wound healing, paronychia, stomatitis, psoriasiform dermatitis, blepharitis, angular cheilitis, vitiligo-like lesions
Protein	Aged appearance, erythematous or hypopigmented lesions most evident in flexure areas; hyperchromic lesions with smooth, fissured or erosive surface; brittle, slow growing nails, onychomadesis; follicular hyperkeratosis, pale extremities accompanied by edema; dry, brittle, dull, and thin hair, with brownish-red color before becoming grayish-white, flag signal with alternating dark and light stripes in the hair; angular cheilitis, xerophthalmia, stomatitis, vulvovaginitis

Edited September 18, 20187 yr by Ed_NW

Correlation of nutrient deficiency and recommended treatment

NUTRIENT	SUPLEMENTATION/DAY IN CASE OF DEFICIENCY
Biotin	Biotin 10 mg / day p.o
Copper	Elemental copper 0.1 to 0.5g, intravenously, 2x/week
Iron	Ferrous sulphate, 500mg/day p.o
Selenium	Sodium selenite 200 mg/day p.o
Vitamin A or Retinol	Vitamin A 50,000-200,000 IU/day, p.o
Vitamin B2 or Riboflavin	Vitamin B2, 10 to 20 mg/day, p.o
Vitamin B3 or Niacin	Nicotinic acid, 500 mg / day, p.o
Vitamin B5 or Pantothenic acid	Pantothenic acid 10 g/day p.o
Vitamin B6 or Pyridoxine	Pyridoxine, 100 mg / day p.o
Vitamin B9 or Folic acid and B12 or Cobalamin	Folic acid 1 to 20 mg / day p.o
Vitamin C or Ascorbic acid	Vitamin C 500mg to 1g/day p.o
Vitamin D	Vitamin D, 600 to 800 IU / day p.o
Vitamin E	Vitamin E, 400 to 800mg/day p.o
Vitamin K	Vitamin K, 1-3mg/single dose intramuscularly
Zinc	Zinc, 15 to 30 mg / day p.o
Protein	1.5 g protein / kg p.o

Have you seen your team lately or a hematologist ? They usually test for all vitamin and mineral deficiencies... Are you keeping up with your vitamins and minerals? Hope find answers and remedies soon!

Edited September 18, 20187 yr by GreenTealael

Kind of an interesting read. I found this at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4371663/

I hope it helps.

Thanks I've seen that article too and it's great. I go on Friday to see my surgeons office. Unfortunately, here in Winnipeg there doesn't seem to be a team per se. I seem to be a bit on my own with this right now, and I'm finding it incredibly stressful.

25 minutes ago, trinkat said:

Hi Everyone. I'm 3 years post-op from a full gastric bypass. Over the last year I've seen a major shift in my health. I had an attack of vasculitis on my leg, random rashes, acne and other problems with skin breakouts (in my hair too!), anxiety/depression, fatigue, infections (bacterial and fungal) and now strange itchy rashes on my arms!

I've been tested for all types of immune disorders and nothing. I'm thinking it's related to one or more mineral/vitamin deficiencies. Anyone experienced similar, and if so what was the end problem? Thanks!

Did they not do a full panel to see what your levels were? Figured that would be a no brainer with being 3 years post op Bypass.

4 minutes ago, trinkat said:

Thanks I've seen that article too and it's great. I go on Friday to see my surgeons office. Unfortunately, here in Winnipeg there doesn't seem to be a team per se. I seem to be a bit on my own with this right now, and I'm finding it incredibly stressful.

Keep researching. With all of the differing opinions out there, even with a team you end up going with whatever seems the most logical to you. Most of the problems you described seem to be from the malabsorption factor that I keep reading about. Hopefully they will find a solution for you at the surgeons office on Friday. Good luck

Thanks to all for the replies. I'll discuss all this with the surgeon on Friday. I also think I need more follow up than has been available to this point (it's pretty much NIL here in Winnipeg after the first year). I'll ask about a hematologist and see if that's an option.