Abstract:A three-year-old boy was treated for malnutrition at a hospital in Tanzania. According to family members, his diet included daily portions of milk, corn meal, and kidney beans, as well as chicken once a week (all of these foods are poor in vitamin A). Physical examination revealed foamy white spots on the conjunctiva lateral to the limbus in both eyes. Vision was normal. These pathognomonic Bitot spots, due to keratin production in metaplastic conjunctival squamous epithelium and most commonly seen in three-to… Show more
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