Document Detail


Vitamin E deficiency in acquired fat malabsorption.
MedLine Citation:
PMID:  2355233     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirteen patients with adult-onset vitamin E deficiency due to fat malabsorption were investigated clinically and electrophysiologically. These patients had slightly or moderately decreased serum vitamin E (1.7-4.8 micrograms/ml, normal less than 6.0) or vitamin E/cholesterol ratio (0.21-0.31 mg/g, normal less than 0.35). Only one patient had typical neurological manifestations of vitamin E deficiency, which improved with supplementary vitamin E. The pathological findings in this patient were also compatible with vitamin E deficiency. This patient had poorly controlled diabetes mellitus due to advanced chronic pancreatitis. Reviewing previously reported cases of vitamin E deficiency with diabetes mellitus in chronic pancreatitis, the duration of deficiency until the onset of symptoms was shorter than in those cases without complications. Although adult patients with early, slight deficiency of vitamin E are generally asymptomatic, patients with diabetes mellitus tend to have early neurological symptoms. The vitamin E tolerance test should be used, because even in some patients with vitamin E deficiency due to malabsorption, the deficiency can be overcome by large oral doses of vitamin E.
Authors:
T Yokota; K Tsuchiya; T Furukawa; H Tsukagoshi; H Miyakawa; Y Hasumura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurology     Volume:  237     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-07-20     Completed Date:  1990-07-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  103-6     Citation Subset:  IM    
Affiliation:
Department of Neurology, Medical and Dental University, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Chronic Disease
Diabetes Mellitus, Type 1 / complications
Dietary Fats / metabolism*
Female
Humans
Malabsorption Syndromes / complications*,  metabolism
Male
Middle Aged
Nervous System Diseases / etiology
Pancreatitis / complications
Vitamin E / therapeutic use
Vitamin E Deficiency / complications,  etiology*,  physiopathology
Chemical
Reg. No./Substance:
0/Dietary Fats; 1406-18-4/Vitamin E

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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