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28 Cards in this Set

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in general:
dermatits, glossitis and diarrhea
B-complex deficiencies
night blindness, dry skin?
vit A deficiency

found where?
leafy vegetables
excess of Vitamin A?
Used for severe acne; is teratogenic

arthralgias, fatigue, headaches
functions of Vitamin B1?
Cofactor for
1) Pyruvate dehydrogenase
2) alpha-ketoglutarate
3) Transketolase
4) Branched chain AA dehydrogenase
which tissues are affected first in thiamine deficiency?
highly aerobic ones (brain and heart)
confusion, opthalmoplegia, ataxia, confabulation, personality change and memory loss
Wernick-Korsakoff (thiamine deficiency leading to destruction of mamillary bodies)
polyneuritis, muscle wasting
Dry Beri Beri (b1 def)
dilated cardiomyopathy (high-output cardiac failure), edema
wet beri beri (b1 def)
inflammation of lips, scaling at corners of mouth and corneal vascularization
vitamin B2 (riboflavin) deficiency
diarrhea, dermatitis, dementia, death
pellagra: Vitamin B3 def
Niacin

what is niacin derived from?
what does it's synthesis require?
Tryptophan
Vit B6 (pyridoxine)
facial flushing
niacin excess
what diseases can lead to pellagra?
Hartnup disease, Carcinoid syndrome, INH usage during TB
dermatitis, enteritis, alopecia, adrenal insufficiency?
Vit B5 (pentothenate) deficiency
convulsions, hyperirritability, peripheral neuropathy, sideroblastic anemia
Vit b6 deficiency

what 4 things is pyridoxine needed to make?
cystathionine, heme, niacin and GABA
high homocysteine and methylmalonic acid
Vit B12 deficiency

usually due to...?
Malabsorption (d. latum, sprue, Crohn's)
Lack of intrinsic factor
what is folic acid deficiency seen in?
alcoholism and pregnancy
What is SAM comprised of/what is it dependent on?
ATP+methionine

b12 and folate
excessive ingesting of raw eggs
biotin deficiency since avidin binds it

what is biotin a cofactor for?
1) pyruvate carboxylase
2) acetyl-coa carboxylase
3) propionyl-CoA carboxylase
swollen gums, brusing, hemarthrosis, anemia, poor wound healing
vitamin C deficiency (due to collagen synthesis defect)
nausea, vomiting, diarrhea, sleep problems
vit C excess

what can it increase the risk of?
iron toxicity
hypercalcemia, loss of appetite, stupor
vit D toxicity

what dz is this seen in?
sarcoidosis due to activation of vitamin D by epithelioid macrophages
increased fragility of RBCs, muscle weakness, posterior column demyelination
vit E deficiency
neonatal hemorrhage with normal bleeding time
vit K deficiency
delayed wound healing, hypogonadism, less adult hair
zinc deficiency
antidote for ethanol/ ethelene glycol?
fomepizole
how does disulfaram work?
inbihits acetaldehyde dehydrogenase so acetaldehyde builds up and leads to hangover symptoms
skin lesions, edema, liver malfunction
protein deficiency (Kwashiorkor)

looks like>??
small child with swollen belly
muscle wasting, loss of subcutaneous fat, variable edema
calorie deficiency (Marasmus)