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VITAMIN A
Hamisi Mkindi,MD5,SFUCHAS,2014
Hamis Mkindi 1
INTRODUCTION
• Vitamins
-Water soluble
-Fat soluble
• Vitamin A
-fat-soluble vitamin ingested in the diet in
two forms.
-as retinol itself from animal sources or
-as provitamin carotene from plant sources
Hamis Mkindi 2
Vitamin A deficiency(XEROPTHALMIA)
• literally means (xeros= dry ; ophthalmos = eye)
dryness of the eye
• Most important cause of blindness in children in
the world.
• Important factor in the cause of stunting which is
more prevalent than malnutrition.
• Important cause of ocular morbidity among
patients with chronic liver disease and lipid
malabsorption, and is a major cause of blindness
in developing countries
Hamis Mkindi 3
Prevalence
• Global
• Africa
• Tanzania
Hamis Mkindi 4
Vitamin A: Retinol
Hamis Mkindi 5
Vitamin A
• main molecular structure contains a cyclic part
and a non-cyclic chain with 5 double bonds in
the all-trans position.
• A functional group is found at the end of the
non-cyclic part which can be an alcohol
(retinol), an aldehyde (reninaldehyde), a
palmitate (retinolpalmitate)
Hamis Mkindi 6
Physiology
• Vitamin A intestinal mucosal cells,
carotene is converted to retinol and, along with
the directly ingested retinol, is esterified to
palmitic acid.
• Retinyl palmitate Liver(stored).
• In requirement for vitamin A, retinyl palmitate is
hydrolyzed, and the reconstituted retinol travels
via the blood stream, attached to retinol-binding
protein (RBP), to the tissue where it is needed.
Lymphatic
system
Absorbed
from SI
Hamis Mkindi 7
Physiology cont
• Adequate body stores of zinc and protein are
necessary for the formation of RBP.
• Eye:vitamin A has a pivotal role in the
functioning of the retina and the conjunctiva.
• Retina contains two distinct photoreceptor
systems,the rods and the cones.
Hamis Mkindi 8
Physiology cont
Hamis Mkindi 9
• Vitamin A is the backbone of the visual pigments
for the rods and the cones.
• Rod cells: the aldehyde form of vitamin A (retinal)
and the protein opsin combine to create
rhodopsin, which is the photosensitive pigment.
• When light hits the rod cells, the pigment
isomerizes, which leads to the nerve impulse and
results in the visual signal.
• The pigment is broken down to opsin and the
stereoisomer of retinal.
Hamis Mkindi 10
• Conjunctiva:vitamin A is necessary for the
maintenance of the specialized epithelial
surface.
• A lack of vitamin A leads to atrophic changes
in the normal mucosal surface, with loss of
goblet cells, and replacement of the normal
epithelium by an inappropriate keratinized
stratified squamous epithelium.
Hamis Mkindi 11
• Also,the substantia propria of the cornea
breaks down and liquefies (colliquative
necrosis), resulting in keratomalacia.
• Vitamin A deficiency affects the retina,
conjunctiva, and cornea, and the signs and
symptoms tend to occur in a reliable
sequence.
Hamis Mkindi 12
Risk factors
• Both an insufficient input and an increased need can
result in the deficiency.
• Infections of the gut, malabsorption, worm infestations
and particularly giardiasis decrease vitamin A
absorption,PEM.
• Recommended daily intakes
• Adult: 750 µg
• Pregnancy: 750 µg
• Breastfeeding: 1200 µg
• Children:
• < 1 yr: 300 µg
• 1-4 yr: 250 µg
• 4-6 yr: 300 µg
• 7-9 yr: 400 µg
• 10-12 yr: 575 µg
• 13-15 yr: 725 µg
Hamis Mkindi 13
The WHO classification of vitamin A
deficiency is as follows:
• XN Night blindness
• X1A Conjunctival xerosis
• XIB Bitot’s spot
• X2 Corneal xerosis
• X3A Corneal ulceration/keratomalacia
-involving one-third or less of the cornea
• X3B Corneal ulceration/keratomalacia
-involving one-half or more of the cornea
• XS Corneal scar
Hamis Mkindi 14
XEROSIS
Hamis Mkindi 15
BITOT SPOT
Hamis Mkindi 16
KERATOMALACIA
Hamis Mkindi 17
Diagnosis
• Clinical:Night blindness and xerosis are the
initial signs of vitamin A deficiency, followed
by formation of Bitot’s spot.
• Serum levels of vitamin A
• CIC.
Hamis Mkindi 18
Treatment
• Considered and emergency.
• Large and repeated doses are therefore given.
• Associated illnesses should always be Rx.
• Oral therapy: The oral regimen of vitamin A is 200,000 IU
on day of presentation, next day, and 2–4 weeks later.
• Children less than 1 year of age or less than 8 kg should
receive half the dose of the above dose. Repeat 200,000 IU
every 6 months up to 6 years of age to prevent recurrence.
Hamis Mkindi 19
Prevention
• Dietary diversification.
• Fortification.
• Supplementation
Hamis Mkindi 20

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Vitamin A defficiency-Hamisi Mkindi.ppt

  • 2. INTRODUCTION • Vitamins -Water soluble -Fat soluble • Vitamin A -fat-soluble vitamin ingested in the diet in two forms. -as retinol itself from animal sources or -as provitamin carotene from plant sources Hamis Mkindi 2
  • 3. Vitamin A deficiency(XEROPTHALMIA) • literally means (xeros= dry ; ophthalmos = eye) dryness of the eye • Most important cause of blindness in children in the world. • Important factor in the cause of stunting which is more prevalent than malnutrition. • Important cause of ocular morbidity among patients with chronic liver disease and lipid malabsorption, and is a major cause of blindness in developing countries Hamis Mkindi 3
  • 4. Prevalence • Global • Africa • Tanzania Hamis Mkindi 4
  • 6. Vitamin A • main molecular structure contains a cyclic part and a non-cyclic chain with 5 double bonds in the all-trans position. • A functional group is found at the end of the non-cyclic part which can be an alcohol (retinol), an aldehyde (reninaldehyde), a palmitate (retinolpalmitate) Hamis Mkindi 6
  • 7. Physiology • Vitamin A intestinal mucosal cells, carotene is converted to retinol and, along with the directly ingested retinol, is esterified to palmitic acid. • Retinyl palmitate Liver(stored). • In requirement for vitamin A, retinyl palmitate is hydrolyzed, and the reconstituted retinol travels via the blood stream, attached to retinol-binding protein (RBP), to the tissue where it is needed. Lymphatic system Absorbed from SI Hamis Mkindi 7
  • 8. Physiology cont • Adequate body stores of zinc and protein are necessary for the formation of RBP. • Eye:vitamin A has a pivotal role in the functioning of the retina and the conjunctiva. • Retina contains two distinct photoreceptor systems,the rods and the cones. Hamis Mkindi 8
  • 10. • Vitamin A is the backbone of the visual pigments for the rods and the cones. • Rod cells: the aldehyde form of vitamin A (retinal) and the protein opsin combine to create rhodopsin, which is the photosensitive pigment. • When light hits the rod cells, the pigment isomerizes, which leads to the nerve impulse and results in the visual signal. • The pigment is broken down to opsin and the stereoisomer of retinal. Hamis Mkindi 10
  • 11. • Conjunctiva:vitamin A is necessary for the maintenance of the specialized epithelial surface. • A lack of vitamin A leads to atrophic changes in the normal mucosal surface, with loss of goblet cells, and replacement of the normal epithelium by an inappropriate keratinized stratified squamous epithelium. Hamis Mkindi 11
  • 12. • Also,the substantia propria of the cornea breaks down and liquefies (colliquative necrosis), resulting in keratomalacia. • Vitamin A deficiency affects the retina, conjunctiva, and cornea, and the signs and symptoms tend to occur in a reliable sequence. Hamis Mkindi 12
  • 13. Risk factors • Both an insufficient input and an increased need can result in the deficiency. • Infections of the gut, malabsorption, worm infestations and particularly giardiasis decrease vitamin A absorption,PEM. • Recommended daily intakes • Adult: 750 µg • Pregnancy: 750 µg • Breastfeeding: 1200 µg • Children: • < 1 yr: 300 µg • 1-4 yr: 250 µg • 4-6 yr: 300 µg • 7-9 yr: 400 µg • 10-12 yr: 575 µg • 13-15 yr: 725 µg Hamis Mkindi 13
  • 14. The WHO classification of vitamin A deficiency is as follows: • XN Night blindness • X1A Conjunctival xerosis • XIB Bitot’s spot • X2 Corneal xerosis • X3A Corneal ulceration/keratomalacia -involving one-third or less of the cornea • X3B Corneal ulceration/keratomalacia -involving one-half or more of the cornea • XS Corneal scar Hamis Mkindi 14
  • 18. Diagnosis • Clinical:Night blindness and xerosis are the initial signs of vitamin A deficiency, followed by formation of Bitot’s spot. • Serum levels of vitamin A • CIC. Hamis Mkindi 18
  • 19. Treatment • Considered and emergency. • Large and repeated doses are therefore given. • Associated illnesses should always be Rx. • Oral therapy: The oral regimen of vitamin A is 200,000 IU on day of presentation, next day, and 2–4 weeks later. • Children less than 1 year of age or less than 8 kg should receive half the dose of the above dose. Repeat 200,000 IU every 6 months up to 6 years of age to prevent recurrence. Hamis Mkindi 19
  • 20. Prevention • Dietary diversification. • Fortification. • Supplementation Hamis Mkindi 20