A Rare Cause of Bilateral Corneal Ulcers: Vitamin A Deficiency in the Setting of Chronic Alcoholism.

Autor: Sohal RJ; Internal Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, USA., Aung TT; Internal Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, USA., Sohal S; Internal Medicine, The Brooklyn Hospital Center, Brooklyn, USA., Harish A; Internal Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2020 May 06; Vol. 12 (5), pp. e7991. Date of Electronic Publication: 2020 May 06.
DOI: 10.7759/cureus.7991
Abstrakt: Vitamin A deficiency is rarely encountered in the western world. When encountered, vitamin A deficiency is seen as a component of the malabsorption spectrum of disease. Given the infrequency of nutritional deficits in the developed world, vitamin A-associated ophthalmologic disease is rarely encountered. We report a case of a 56-year-old male with severe vitamin A deficiency in the setting of alcoholic liver cirrhosis. This case emphasizes two important points. First, it considers vitamin A deficiency as a cause of corneal ulceration in patients with chronic alcoholism. Second, it raises awareness of hepatotoxicity that can result after the supplementation of vitamin A in patients with chronic alcoholism. Although an uncommon diagnosis, it should be considered when other causes, such as infectious and autoimmune conditions, are ruled out.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, Sohal et al.)
Databáze: MEDLINE