{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:35:55Z","timestamp":1777671355037,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Biliopancreatic diversion is a surgical procedure that causes weight loss via volume restriction and malabsorption. It is now rarely performed due to the risk of severe nutritional deficiencies including vitamin A. We report a case of severe vitamin A deficiency due to malabsorption from a biliopancreatic diversion procedure for weight loss. By the time the patient presented to our department, she had developed blindness refractory to parenteral vitamin A treatment. A unique feature of her case is the development of a rash with vitamin A injections. This reaction has only been reported in one case series of 3 patients in the published literature. Her case highlights the importance of vitamin deficiency screening in patients after bariatric surgery, and her skin reaction to the injections is a unique side effect that is not frequently observed.<\/jats:p>","DOI":"10.1177\/2324709619888051","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T01:53:22Z","timestamp":1573523602000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Severe Vitamin A Deficiency After Biliopancreatic Diversion"],"prefix":"10.1177","volume":"7","author":[{"given":"Lauren M.","family":"Lemieux","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Clinical Nutrition, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijaya","family":"Surampudi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Clinical Nutrition, University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,11,11]]},"reference":[{"key":"bibr1-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2004.12.008"},{"key":"bibr2-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2003.09.020"},{"key":"bibr3-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2006.092502"},{"key":"bibr4-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1381\/096089203322190916"},{"key":"bibr5-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2003.022459"},{"key":"bibr6-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1097\/00006982-200507000-00016"},{"key":"bibr7-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2004.12.045"},{"key":"bibr8-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2016.12.018"},{"key":"bibr9-2324709619888051","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)90963-X"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709619888051","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2324709619888051","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709619888051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:00:18Z","timestamp":1777449618000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2324709619888051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":9,"alternative-id":["10.1177\/2324709619888051"],"URL":"https:\/\/doi.org\/10.1177\/2324709619888051","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"2324709619888051"}}