多重低维他米诺症呈现为光盘胀,患有自闭症谱系障碍和限制性饮食的儿童
Nagashreyaa Nagajothi1, Ruben Jauregui1, Scott N Grossman1,2
1Department of Neurology, NYU Grossman School of Medicine, New York, NY, USA.
Journal of child neurology
|May 20, 2025
概括
维生素A缺乏会导致儿童视觉盘胀,特别是那些患有自闭症谱系障碍 (ASD) 和避免限制性食物摄入障碍的儿童. 早期诊断和治疗对于预防视力丧失至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿科 儿科 儿科
- 营养科学 营养科学
背景情况:
- 光盘胀通常与维生素A的毒性有关,但很少与缺乏有关.
- 自闭症谱系障碍 (ASD) 和避免限制性食物摄入障碍 (ARFID) 在儿童中越来越多地被诊断为自闭症.
- 营养缺乏症可能会出现复杂的症状,具有挑战性的诊断和管理.
研究的目的:
- 在患有ASD和ARFID的儿童中报告由于维生素A缺乏而导致视觉盘胀的病例.
- 突出儿童营养缺陷行为失调所带来的诊断挑战.
- 强调在儿科光盘胀时考虑多种营养缺陷的重要性.
主要方法:
- 一个有自闭症和ARFID的6岁男孩的病例报告.
- 临床表现包括异眼症,光盘胀和视力变化.
- 实验室评估显示维生素A,维生素B1和铁的缺乏.
主要成果:
- 患者呈现出与严重低维生素水平相一致的症状,包括视盘胀.
- 行为挑战使诊断和治疗过程复杂化.
- 成功管理涉及解决多种营养缺乏症.
结论:
- 光盘胀可能是维生素A缺乏症的表现,在患有ASD和ARFID的儿科患者中.
- 在患有这些伴随疾病的儿童中,具有视觉变化,全面的营养评估至关重要.
- 及时干预可以减轻永久视力损伤的风险.
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