title: Multiple vitamin deficiencies in a patient with a history of chronic alcohol excess and self-neglect in the UK.
abstract: We report a case of inadequate diet (caused by extreme self-neglect and alcohol excess) which led to chronic severe deficiencies of vitamins A, D and E. At presentation the patient had widespread follicular hyperkeratosis of the skin, keratomalacia of both eyes and a severe cognitive impairment. He responded well to treatment including high dose parenteral vitamins, but lasting impairments in his vision and cognition have caused permanent disability.
authors.affiliation: Academic Unit of Primary Medical Care, The University of Sheffield, Sheffield, UK.
authors.forename: Jon Mark
authors.initials: JM
authors.lastname: Dickson
authors.affiliation: Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK.
authors.forename: Greg
authors.initials: G
authors.lastname: Naylor
authors.affiliation: Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK.
authors.forename: Graham
authors.initials: G
authors.lastname: Colver
authors.affiliation: Human Nutrition Unit, The University of Sheffield, Sheffield, UK.
authors.forename: Hilary J
authors.initials: HJ
authors.lastname: Powers
authors.affiliation: Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Masters
mesh_terms: D000437:Alcoholism / Q000150:complications* / Q000473:pathology; D001361:Avitaminosis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D005128:Eye Diseases / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology; D006113:United Kingdom; D014802:Vitamin A Deficiency / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D014808:Vitamin D Deficiency / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D014811:Vitamin E Deficiency / Q000175:diagnosis / Q000209:etiology / Q000473:pathology