Severe vitamin A deficiency after malabsortive bariatric surgery

Area of Science:

• Nutrition Science
• Gastroenterology
• Ophthalmology

Background:

• Malabsorptive bariatric surgery can lead to nutrient deficiencies, including vitamin A.
• Vitamin A deficiency typically presents with mild or no functional symptoms.

Observation:

• A patient developed severe vitamin A deficiency post-bariatric surgery.
• The patient presented with significant ocular dryness, xeroderma (dry skin), and hearing loss.

Findings:

• This case demonstrates a rare and severe manifestation of vitamin A deficiency.
• Excessive and uncontrolled malabsorption was identified as the cause.

Implications:

• Highlights the importance of monitoring vitamin A levels after bariatric surgery.
• Underscores the potential for severe, functionally limiting symptoms from malabsorption.
• Emphasizes the need for vigilant management of post-surgical nutritional status.