Nutritional optic and peripheral neuropathy: a case report.
BACKGROUND
The link between nutritional status and either optic or peripheral neuropathies is well established with tobacco, ethanol, deficiencies in thiamine, vitamin A, B12, B3 and B6 and protein-energy malnutrition all being causative.


METHODS
We describe the case of a 32-year-old Afro-Caribbean of Jamaican origin presenting with blurred vision and a painful burning sensation in his feet. The clinical features were consistent with optic and peripheral neuropathy.


CONCLUSIONS
The patient followed a strict vegan diet and consumed no animal products. A review of the literature highlights similarities between this case and Strachan's syndrome, a combination of optic and peripheral neuropathy and cutaneous excoriation, providing further evidence for the association between this clinical presentation, dietary deficiency and, as recently postulated, previous residence in a tropical or sub-tropical climate.
Nightingale
Laura M
LM
A&E Department, St Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH, UK. laura.nightingale@doctors.org.uk
Paviour
Dominic C
DC