Night blindness secondary to vitamin A deficiency in a patient with bile duct strictures after liver transplantation.
Vitamin A deficiency and resulting night blindness have previously been reported in patients with chronic liver disease before undergoing liver transplantation. Because early identification of patients with vitamin A deficiency can lead to the relief of symptoms and the prevention of irreversible retinal degeneration, vitamin A deficiency should always be considered in the differential diagnosis of visual disturbances in patients with liver disease. We describe a case of night blindness due to vitamin A deficiency resulting from bile duct strictures in a post-orthotopic liver transplant patient and its successful resolution with vitamin A supplementation.
Urayama
S
S
Department of Medicine, University of Chicago Hospitals, Illinois 60637, USA.
Lissoos
T W
TW
Fishman
G A
GA
Grover
S
S
Schiano
T D
TD
Conjeevaram
H
H
Baker
A L
AL
D002779:Cholestasis / Q000150:complications* / Q000209:etiology; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009755:Night Blindness / Q000209:etiology*; D014802:Vitamin A Deficiency / Q000150:complications* / Q000209:etiology