DrVirgo
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A 65 y/o woman with a 25 year history of chronic alcoholism is brough tto the emergency department because she is vomiting blood. She eats little more than occasional sandwich. Esa of the mouth shows loosening of teeth. There is perifollicular hyperkeratosis, purpura, ecchymoses, adn hemorrhage of the lower extremities. The most likely cause of these symptoms is a deficiency of which of the following nutrients.
A. Folic Acid
B. Iron
C. Niacin
D. Protein
E. Vitamin A
F. Vitamin B6
G. Vitamin C
H. Vitamin E
I. Vitamin K
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| mjl1717
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probably malnourished-with purpura and hemorrhage i think --vitamin c
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| Slacker
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all of the signs point to Vit. C. But I don't get one thing. why is perifollicular hyperkeratosis occuring. It is most probably due to Vit. A deficient, right?? since liver is a major storage of Vit. A in the Ito cells and the liver is damage in the alcoholic???
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| Ms.Apara
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vit c ???
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| sridevibandaru24
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Vit c
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| DrVirgo
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I think vitamin C too.
Slacker is right:
Perifollicular hyperkeratosis is indicative of Vitamin A deficiency.
(Perifollicular hemorrhage is indicative of Vitamin C deficiency.)
This is an elderly.. typical presentation... tea and toast diet. Most of the other signs (eechymoses, etc.) point to Vitamin C deficiency, so I go with that answer.
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