Vitamin A Deficiency Presenting with ‘Itchy Eyes’

Autor: Marc Sarossy, Ehud Zamir, Matthew Hao Lee
Jazyk: angličtina
Rok vydání: 2015
Předmět:
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