Division of Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Nutr Clin Pract. 2021 Oct;36(5):1059-1062. doi: 10.1002/ncp.10573. Epub 2020 Sep 18.
Micronutrient deficiencies are a major global health problem but are less common in developed nations. If left unidentified and untreated, micronutrient deficiencies can lead to serious, sometimes irreversible, sequelae such as with vitamin A deficiency and vision loss. Providers should recognize these issues not only in chronically ill and hospitalized patients but in those with non-illness-related malnutrition due to parent/child-selected restricted diets. Herein, we present a case of unrecognized chronic, severe, malnutrition due to severe behavioral food selectivity with associated neurologic deficits due to hypovitaminosis (vitamins A and B ). With adequate enteral nutrition and vitamin repletion, our patient's neurologic deficits have partially recovered.
微量营养素缺乏是一个全球性的主要健康问题，但在发达国家则较少见。如果未能识别和治疗，微量营养素缺乏可导致严重的、有时甚至是不可逆的后果，如维生素 A 缺乏和视力丧失。提供者不仅应在慢性疾病和住院患者中识别这些问题，还应在因父母/子女选择限制饮食而导致非疾病相关营养不良的患者中识别这些问题。在此，我们介绍了一例因严重行为性食物选择性导致的慢性、严重营养不良而未被识别的病例，该患者因维生素缺乏（维生素 A 和 B）导致相关神经缺陷。通过充分的肠内营养和维生素补充，我们的患者的神经缺陷已部分恢复。
