Association of xerophthalmia, flecked retina, and pseudotumor cerebri caused by hypovitaminosis A.
case_report · Level V
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Abstract
To report an unusual case of hypovitaminosis A with bilateral papilledema and flecked retina that regressed after restoration of vitamin A deficiency. Case report. A 27-year-old woman had undergone a biliopancreatic bypass for obesity in 1990. In 1995, she presented with bilateral xerophthalmia, bilateral papilledema, and bilateral flecked retina. Laboratory tests demonstrated low serum levels of vitamin A (0.8 micromol/l) and vitamin E (8.54 micromol/l). Xerophthalmia, papilledema, and flecked retina disappeared after restoration of normal vitamin A blood levels. Hypovitaminosis A after biliopancreatic bypass for obesity may be associated with xerophthalmia, pseudotumor cerebri, and flecked retina.
Medical subject headings
- Adult
- Female
- Fundus Oculi
- Humans
- Papilledema
- Papilledema/etiology
- Pseudotumor Cerebri
- Pseudotumor Cerebri/blood
- Pseudotumor Cerebri/drug therapy
- Pseudotumor Cerebri/etiology
- Retinal Diseases
- Retinal Diseases/blood
- Retinal Diseases/drug therapy
- Retinal Diseases/etiology
- Vitamin A
- Vitamin A/blood
- Vitamin A/therapeutic use
- Vitamin A Deficiency
- Vitamin A Deficiency/blood
- Vitamin A Deficiency/complications
- Vitamin A Deficiency/drug therapy
- Vitamin E
- Vitamin E/blood
- Vitamin E/therapeutic use
- Xerophthalmia
- Xerophthalmia/blood
- Xerophthalmia/drug therapy
- Xerophthalmia/etiology