You decide to do an international rotation in Africa where you see a malnourished patient in clinic with poor bone growth, non-specific skin findings, a mildly immunocompromised state, and the eye finding above. He says he has poor vision at night.Challenge: The ancient Egyptians knew about this disease and treated it with eating liver. What is it?
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4 comments:
vitamin A deficiency
vit a defic?
vit A deficiency.
i'm not sure what the eye lesion is, though (hyperkeratosis?)...
Wow, I'm impressed!
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Ancient Egyptians Ate Liver
This is vitamin A deficiency and the image shows Bitot's spots, areas of abnormal squamous cell proliferation and keratinization of the conjunctiva. This is part of xerophthalmia due to inadequate lacrimal gland function and can progress to corneal xerosis and keratomalacia.
Sources: UpToDate; picasaweb.google.com/mcmumbi.
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