Multiple vitamin deficiencies in a patient with a history of chronic alcohol excess and self-neglect in the UK. (22nd September 2014)

• Record Type: Journal Article
• Authors: Dickson, Jon Mark; Naylor, Greg; Colver, Graham; J Powers, Hilary; Masters, Paul
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-09-22
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-204523
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We 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.