对ARFID的二次性 Xeropthalmia 和视神经病变:一个病例报告
Aletheia Zh Chia1,2, Lim Su Ann3, Bryan Sim4
1Department of Paediatric Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore. aletheia.chia@mohh.com.sg.
Journal of eating disorders
|July 3, 2024
概括
避免/限制性食物摄入障碍 (ARFID) 可能导致严重的微量营养素缺乏,导致视力丧失. 早期发现和治疗对于管理ARFID相关的营养缺陷及其严重的健康后果至关重要.
科学领域:
- 儿童营养学 儿童营养学
- 眼科医生 眼科 眼科
- 精神病学是一个精神病学.
背景情况:
- 规避性/限制性食物摄入障碍 (ARFID) 通常与营养不良有关,但也可以表现为微量营养素缺乏,而无需减肥.
- 临床医生必须对ARFID患者微量营养素缺乏的微妙迹象保持警.
- 微量营养素缺乏在发达国家很罕见,但在限制饮食的情况下需要考虑.
研究的目的:
- 要突出一个独特的ARFID病例,呈现严重的视力障碍.
- 为了强调选择性饮食,微量营养素缺乏和眼科并发症之间的联系.
- 强调在无法解释的微量营养素缺乏症的差异诊断中考虑ARFID的重要性.
主要方法:
- 一个12岁女孩患有ARFID和急性视力损失的案例报告.
- 眼科检查显示了异眼症和视神经病变.
- 实验室调查确定严重的维生素A和叶酸缺乏,以及低维生素B12,铜和维生素D.
主要成果:
- 患者表现出异眼症和双侧视神经病变的症状.
- 严重的维生素A和叶酸缺乏被确定为视力损失的主要原因.
- 饮食分析显示了极端的食物选择性,排除了主要的食物组.
结论:
- 在ARFID中选择性饮食可能导致严重的,视力威胁的微量营养素缺乏.
- Xerophthalmia 和视神经病是ARFID的潜在眼科表现.
- 多学科的护理和及时的维生素补充对于ARFID患者营养不良的康复至关重要.
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