Vitamin A Deficiency Presenting with ‘Itchy Eyes’
Autor: | Marc Sarossy, Ehud Zamir, Matthew Hao Lee |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Vitamin
medicine.medical_specialty genetic structures Published online: December 2015 Nyctalopia chemistry.chemical_compound lcsh:Ophthalmology Xerophthalmia Bitot’s spots medicine Bitot's spots Itchy eyes business.industry Hypovitaminosis A Electroretinogram medicine.disease Dermatology eye diseases Cone dysfunction Vitamin A deficiency Ophthalmology chemistry lcsh:RE1-994 Dietary history Optometry sense organs medicine.symptom business |
Zdroj: | Case Reports in Ophthalmology Case Reports in Ophthalmology, Vol 6, Iss 3, Pp 427-434 (2015) |
ISSN: | 1663-2699 |
Popis: | We present the case of an 88-year-old female living in metropolitan Melbourne, Australia who developed vitamin A deficiency manifesting as ‘itchy eyes' due to a bizarre dietary habit. Slit lamp examination revealed Bitot's spots and a subsequent vitamin A serum level test revealed severe deficiency. An electroretinogram showed grossly reduced a- and b-wave amplitudes consistent with generalised rod and cone dysfunction - these parameters showed marked improvement 5 months post supplementation. This case highlights the presence of vitamin A deficiency in the developed world and that a careful dietary history should be taken when assessing a patient complaining of ‘itchy eyes'. Timely diagnosis and treatment may result in dramatic resolution of symptoms and signs as well as prevention of serious morbidity. |
Databáze: | OpenAIRE |
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