• BMJ case reports · Sep 2014

    Case Reports

    Multiple vitamin deficiencies in a patient with a history of chronic alcohol excess and self-neglect in the UK.

    • Jon Mark Dickson, Greg Naylor, Graham Colver, Hilary J Powers, and Paul Masters.
    • Academic Unit of Primary Medical Care, The University of Sheffield, Sheffield, UK.
    • BMJ Case Rep. 2014 Sep 22; 2014.

    AbstractWe report a case of inadequate diet (caused by extreme self-neglect and alcohol excess) which led to chronic severe deficiencies of vitamins A, D and E. At presentation the patient had widespread follicular hyperkeratosis of the skin, keratomalacia of both eyes and a severe cognitive impairment. He responded well to treatment including high dose parenteral vitamins, but lasting impairments in his vision and cognition have caused permanent disability. 2014 BMJ Publishing Group Ltd.

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