Internal Medicine

0521779407-22 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:23

Vitamin C Deficiency Vitamin E Deficiency 1537

tests

Laboratory

■Basic blood studies:

➣plasma ascorbic acid <0.2 mg/dL

differential diagnosis

n/a

management

n/a

specific therapy

■Vitamin C protective; treatment plus dietary measures. No evidence

huge doses decrease incidence or severity of common cold

Side Effects & Contraindications

■nephrolithiasis (oxalosis) at doses > 4 gm/day

follow-up

n/a

complications and prognosis

■Completely reversible

VITAMIN E DEFICIENCY

ELISABETH RYZEN, MD

history & physical

History

■rare; premature infants, fat malabsorption, chronic cholestatic

hepato-biliary disease, celiac disease, genetic abnormality of vita-

min E metabolism

Signs & Symptoms

■infants, mild hemolytic anemia, spinocerebellar disease with DTR

loss, ataxia