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Vitamin A Deficiency Presenting with ‘Itchy Eyes’
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 defici...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4777935/ https://www.ncbi.nlm.nih.gov/pubmed/26955344 http://dx.doi.org/10.1159/000441969 |
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author | Lee, Matthew Hao Sarossy, Marc G. Zamir, Ehud |
author_facet | Lee, Matthew Hao Sarossy, Marc G. Zamir, Ehud |
author_sort | Lee, Matthew Hao |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4777935 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-47779352016-03-07 Vitamin A Deficiency Presenting with ‘Itchy Eyes’ Lee, Matthew Hao Sarossy, Marc G. Zamir, Ehud Case Rep Ophthalmol Published online: December, 2015 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. S. Karger AG 2015-12-03 /pmc/articles/PMC4777935/ /pubmed/26955344 http://dx.doi.org/10.1159/000441969 Text en Copyright © 2015 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Published online: December, 2015 Lee, Matthew Hao Sarossy, Marc G. Zamir, Ehud Vitamin A Deficiency Presenting with ‘Itchy Eyes’ |
title | Vitamin A Deficiency Presenting with ‘Itchy Eyes’ |
title_full | Vitamin A Deficiency Presenting with ‘Itchy Eyes’ |
title_fullStr | Vitamin A Deficiency Presenting with ‘Itchy Eyes’ |
title_full_unstemmed | Vitamin A Deficiency Presenting with ‘Itchy Eyes’ |
title_short | Vitamin A Deficiency Presenting with ‘Itchy Eyes’ |
title_sort | vitamin a deficiency presenting with ‘itchy eyes’ |
topic | Published online: December, 2015 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4777935/ https://www.ncbi.nlm.nih.gov/pubmed/26955344 http://dx.doi.org/10.1159/000441969 |
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