Princess Alexandra Eye Pavilion, Edinburgh, United Kingdom.
Cornea. 2010 Jul;29(7):828-9. doi: 10.1097/ICO.0b013e3181bd9ed5.
Vitamin A deficiency causing xerophthalmia, although a major public health issue in sub-Saharan Africa, is rarely seen in people living in developed countries. In such cases, it is usually associated with severe malnutrition caused by intestinal disorders, such as celiac disease, pancreatitis, or extensive bowel surgery. Dietary-induced vitamin A deficiency leading to xerophthalmia has rarely been reported in the United Kingdom. In this case, we report on a young man who presented with corneal xerosis and whose history of corneal ulceration had not been linked to his restricted diet, which resulted in vitamin A deficiency. Unlike other cases, this young man had no history of psychiatric illness and led a normal active lifestyle.
维生素 A 缺乏导致的干眼病虽然是撒哈拉以南非洲地区的一个主要公共卫生问题,但在发达国家生活的人群中很少见。在这种情况下,它通常与肠道疾病引起的严重营养不良有关,如乳糜泻、胰腺炎或广泛的肠道手术。饮食引起的维生素 A 缺乏导致的干眼病在英国很少见。在这种情况下,我们报告了一名年轻男性患者,他表现为角膜干燥症,且他的角膜溃疡病史并未与导致维生素 A 缺乏的饮食限制联系起来。与其他病例不同,这名年轻男性没有精神病史,过着正常积极的生活方式。