Ophthalmic manifestations of vitamin A and D deficiency in two autistic teenagers: case reports and a review of the literature

Case Reports in Ophthalmology
Emma DuignanDonal Brosnahan

Abstract

We describe the cases of 2 autistic children with ophthalmic and systemic manifestations of vitamin A deficiency due to food faddism. Although vitamin A deficiency is common in the developing world, reports in developed societies are rare. Our patients presented over a 1-year period. The patients were 14 and 13 years old at the time of presentation and were both found to have marked features of vitamin A deficiency related to unusual dietary habits. Anterior segment signs of xerophthalmia were present in both patients. In addition, patient 1 showed evidence of a rod-predominant retinopathy, which resolved with vitamin A supplementation. Due to its rare occurrence, hypovitaminosis A must be highlighted and anticipated in this cohort.

Citations

Oct 3, 2015·Journal of Pediatric Ophthalmology and Strabismus·Akshay Gopinathan NairChhaya A Shinde
Mar 2, 2019·Child: Care, Health and Development·Deirdre U SweetmanHilary Greaney
Jan 25, 2020·Journal of Pediatric Ophthalmology and Strabismus·Eric ChanA Paula Grigorian
May 22, 2019·Paediatrics & Child Health·Laura M KinlinJeremy N Friedman
Mar 9, 2018·Case Reports in Ophthalmology·Amanda R CrumFasika Woreta
Mar 6, 2021·Journal of Autism and Developmental Disorders·Shayleigh Dickson PageJennifer Pinto-Martin
Jun 18, 2021·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Sherief RaoufHoward D Pomeranz

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Methods Mentioned

BETA
biopsy

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