[Adult XXXX : A rare complication of bariatric surgery.]

@entity1 @entity7493 @entity16995 @entity28 @entity5 @entity4 @entity1131 @entity281 @entity272 @entity484
INTRODUCTION: Kwashiorkor is a clinical manifestation of global @entity7493 that is described mainly in @entity1 in developing countries initially presenting @entity484 -like @entity272 associated with @entity4 . OBSERVATION: We report the case of a 44-year-old @entity1 with dark skin who had undergone bariatric surgery for treatment of @entity5 without regular monitoring and who was hospitalized in our dermatology department four years later. She had diffuse @entity4 and @entity484 -like cutaneous lesions on pigmented skin that had developed for two months despite daily application of topical corticosteroids. Clinical signs, the collapse of serum albumin and histopathological analysis of skin tissue were evocative of @entity16995 . Her symptoms subsided after several weeks of a nutritional programme. DISCUSSION: Kwashiorkor is a clinical entity described chiefly in @entity1 in developing countries. Cutaneous involvement comprising @entity272 associated with diffuse @entity4 is prominent. Treatment with protein supplementation alone is effective and avoids many complications such as @entity281 . Obesity is a serious and common disease in Western countries affecting one third of the world's population, and for which treatment with bariatric surgery may be indicated. Without regular monitoring, this surgery can cause severe @entity1131 . Consequently, in the future there will seemingly be a greater likelihood of @entity16995 in adults as an iatrogenic complication of @entity28 treatment. Its semiology needs to be underlined because of the simplicity and efficacy of treatment.
