A study of the plasma vitamin C concentration in patients in an assessment geriatric ward was carried out for 1 year. The incidence of vitamin C deficiency, as reflected by the plasma vitamin C level was 40.1%. There was almost no difference in its prevalence amongst the sexes or various age groups, but the incidence of vitamin C deficiency was highest in patients admitted from institutions. Furthermore, this study also revealed that patients with certain illnesses were more vulnerable to vitamin C deficiency than other patients and the standard hospital diet alone was not sufficient to improve the vitamin C status of these patients in the short-term.
We report the case of an elderly woman who developed man-in-the-barrel syndrome following a myocardial infarction complicated by cardio-respiratory arrest. A previously fit 72 year old woman presented as an emergency with a 6-hour history of severe breathlessness associated with central chest pain. On The free thyroxine was < 1.0 pmol/l (reference range 9.0 to 28.0), thyroid stimulating hormone 97.0 mU/I (0.2 to 3.6) and plasma cholesterol 9.2 mmol/l (3.6 to 6.5). Antibody to thyroglobulin was present 1:110 000 and to thyroid microsomes 1:27 000. Neck radiographs showed an excess of soft tissue, posteriorly, in the floor of the mouth with compromise of the post-nasal space.
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