title: Nutritional optic and peripheral neuropathy: a case report.
abstract: 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.
authors.affiliation: A&E Department, St Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH, UK. laura.nightingale@doctors.org.uk
authors.forename: Laura M
authors.initials: LM
authors.lastname: Nightingale
authors.forename: Dominic C
authors.initials: DC
authors.lastname: Paviour