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Multiple vitamin deficiencies in a patient with a history of chronic alcohol excess and self-neglect in the UK


  • Dermatology

Document Type

Published Date

  • 2014



  • 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.
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