2009
DOI: 10.1177/0883073809333541
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Permanent Visual Loss Due to Dietary Vitamin A Deficiency in an Autistic Adolescent

Abstract: Children with autism often have restrictive diets. Here, we report an adolescent with autism who developed dietary vitamin A deficiency because of a restrictive diet. Despite supplementation with vitamin A, some of the visual loss was permanent with optic atrophy. Children with autism who have restrictive diets may need periodic serum vitamin levels assessed.

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Cited by 47 publications
(39 citation statements)
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References 10 publications
(8 reference statements)
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“…Thus, it is not yet possible to determine whether or not children with ASD and severe feeding problems would also have nutritional deficiencies. Some case studies and larger studies report negative health effects due to selective eating or restrictive diets [66,67]. Therefore, it is always advisable to refer a child to a qualified nutritional expert when the child presents with selective eating.…”
Section: Parent Reported Feeding Problemsmentioning
confidence: 99%
“…Thus, it is not yet possible to determine whether or not children with ASD and severe feeding problems would also have nutritional deficiencies. Some case studies and larger studies report negative health effects due to selective eating or restrictive diets [66,67]. Therefore, it is always advisable to refer a child to a qualified nutritional expert when the child presents with selective eating.…”
Section: Parent Reported Feeding Problemsmentioning
confidence: 99%
“…Case reports and small case series have reported patients with an ASD afflicted by scurvy and hypomagnesaemia 41 42. The use of alternative gluten-free and casein-free diets can also place the patient with an ASD at risk for vitamin and nutritional deficiency, including vitamins A, B 12 and thiamine 23 43 44. One of the classic symptoms of Rett syndrome is weight loss, and decrease in muscle mass with cachexia is a cause of death in this patient population 45.…”
Section: Medical Conditions Associated With Asdmentioning
confidence: 99%
“…Bu hastada optik atrofi gelişmiş olması sebebi ile yerine koyma tedavisine rağmen hastada görme sorunu kalıcı olmuştur. [12] Sınırlı besin tercihleri olan başka bir otizm hastasında yine vitamin A eksikliğine bağlı kseroftalmi gelişmiş ve yerine koyma tedavisine belli oranda yanıt vermiştir. [68] Otizm hastalarında, özellik-le de sınırlı sayıda gıda ile beslenme söz konusu ise dönem dönem vitamin düzeylerinin takibi önemli olabilir.…”
Section: Otizmunclassified
“…Bu hastalıkların başında otizm gelmektedir ve yukarıda anlatıldığı üzere özellikle vitamin A eksikliğine bağlı ağır tablolar görülebilmektedir. [12,68] Bu ağır klinik tablolardan vitaminin gen regülasyonu düzeyinde etkilerinin olumsuz etkilenmesi veya antioksidan savunmanın zayıflaması sorumlu olabileceği gibi bunların her ikisi de etken olabilir. Dolayısı ile vitamin ekleme tedavileri söz konusu olduğunda öncelikli olarak risk altındaki hastalarda belirli aralıklarla tarama yapmak önem kazanmaktadır.…”
Section: Sonuçunclassified
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