Internal Medicine

0521779407-B01 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 20:52

238 Biliary Tract Motility Disorders Biotin Deficiency

Prognosis

■Most reliable finding predicting a favorable response to sphinctero-

tomy is elevated SO basal pressure

■In general, biliary tract motility disorders are chronic and relapsing,

impair quality of life and lead to frequent use of health care resources,

emergency room visits and potential for narcotic addiction

Biotin Deficiency....................................

ELISABETH RYZEN, MD

history & physical

History

■prolonged raw egg white consumption, prolonged TPN

Signs & Symptoms

■dermatitis, glossitis, in children retarded physical, mental develop-

ment, alopecia, defects in cell-mediated immunity, keratoconjunc-

tivitis

tests

Laboratory

■Basic studies: none

differential diagnosis

n/a

management

n/a

specific therapy

■Biotin

Side Effects & Contraindications

■None

follow-up

n/a

complications and prognosis

■Reversible with replacement