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The intestinal bypass: arthritis-dermatitis syndrome.

Authors
  • Stein, H B
  • Schlappner, O L
  • Boyko, W
  • Gourlay, R H
  • Reeve, C E
Type
Published Article
Journal
Arthritis and rheumatism
Publication Date
May 01, 1981
Volume
24
Issue
5
Pages
684–690
Identifiers
PMID: 7236324
Source
Medline
License
Unknown

Abstract

Of the 31 patients who developed polyarthritis following jejunoileal bypass for obesity, 24 had cutaneous vasculitis (urticarial, pustular, and nodular), 11 paresthesias, 10 Raynaud's phenomenon, and 1 pericarditis. Blind loop symptoms (14 of 26 patients), cryoglobulinemia (10 of 28), and immune deposits in biopsied skin lesions (5 of 7) support the theory of a relationship between bowel bacteria and immune complexes. Treating the blind loop with antibiotics and sphincteroplasty to prevent bacterial reflux into the blind loop helped 5 of 10 and 6 of 9 patients, respectively. A comparison is made to other bowel associated arthritides.

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