We describe a 52-year-old woman with panniculitis and blind loop syndr
ome. She had undergone a gastrectomy for peptic ulcer 4 years before.
Tender erythematous nodules on her palms and soles were associated wit
h diarrhea and weight loss. A biopsy specimen revealed septal and lobu
lar panniculitis. A glucose hydrogen breath test was consistent with b
acterial overgrowth. These results were consistent with panniculitis a
ssociated with a blind loop syndrome. Only four cases of this associat
ion have been reported previously.