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139 Cards in this Set
- Front
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fat soluble vitamins
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ADEK
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toxicity more common: fat or h2o soluble vitamins
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fat soluble - can accumulate in fat
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syndromes that cause fat-soluble vitamin deficiencies
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malabsorption syndromes (steatorrhea) like CF, sprue, or by mineral oil intake
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water soluble vitamins
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b1 (thiamine), b2(riboflavin), b3(niacin), b5 (pantochenic acid), b6 (pyridoxine), b12 (cobalamine), C, biotin, folate
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B-complex deficiences result in.....
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dermatitis, glossitis, diarrhea
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vitamin A aka
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retinol
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vitamin A function
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-constituents of visual pigments (retinal)
-cofactor for PTH -CSF component |
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deficiency of vitamins A
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night blindness
dry skin hypoparathyroidism |
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vitamin A excess
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arthalgia
fatigue ha skin changes sore throat alopecia hyperparathyroidism pseudotumor cerebri |
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B1 aka
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thiamine
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function of b1
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in TPP(thiamine pyrophophate)
cofactor for oxidative phosphorylation cofactor for transketolase |
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thiamine deficiency
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beri beri
wenike-korsakoff syndrome |
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dry beri beri
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polyneuritis, muscle wasting
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wet beri beri
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high output cardiac failure (dilated cardiomyopathy)
edema |
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part of brain affected by wernike's encephalopathy
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posterior temporal lobe
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thiamine deficiciency is common in what populations?
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malnourished
alcoholics |
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what part of brain affected by wernike-korsakoff?
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mamillary bodies
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b2 aka
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riboflavin
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function of b2
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cofactor in oxidation/reduction (ex fadh2)
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b2 deficiency
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angular cheilosis,
stomatosis, corneal vascularization |
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b3 aka
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niacin
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function of b3
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constiuent of Nad+ Nadp+ (used in redox reactions)
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aa that b3 is derived from
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tryptophan
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b3 deficiencies
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pallegra/hartnup disease
malignant carcinoid INH use |
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pallegra's 3 d's
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dermatitis, dementia, diarrhea
(also beefy glossitis) |
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hartnup's disease
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decreased tryptophan absorption at kidneys
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vitamin that b3 uses in its synthesis
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b6
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b5 aka
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pantothenic acid
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b5 function
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constituent of coA (cofactor for acyl transferase)
constituent of FA synthesis dehydrogenases |
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b5 deficiency
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dermatitis
enteritis alopecia adrenal insufficiency |
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b6 aka
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pyridoxine
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b6 function
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transamination (when converted to pyridoxal phosphate)
heme synthesis |
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b6 deficiency
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convulsions
hyperirritability peripheral neuropathy sideroblastic anemia |
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what drugs induce b6 deficiency
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inh
oral contraceptives |
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vitamin b12 aka
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cobalamin
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b12 function
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cofactor for homocysteine methylation
cofactor for methyl-malonyl coA handling |
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homocysteine + N-methyl THF
--> |
Methionine + THF
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methylmalonyl coA + b12
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succinyl coA
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B12 storage
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at liver (acts like fat soluble)- only h20 soluble vitamin that doesn't wash out quickly
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b12 synthesis
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via microorganisms
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detects b12 defieciency
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schilling test
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what is the source of b12
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only in animal products
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b12 deciency
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megaloblastic anemia + neuropathy (optic neuropathy, subacute combined degeneration, parasthesia) - due to abn myelin
glossitis |
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causes of b12 deficiency
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malabsorption syndromes - sprue, enteritis, d. latum
lack of intrinsic factor - pernicious anemia absent terminal ileum - chron's disease |
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abnormal myelin seen in b12 decifiency
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not enough methionine
too much methyl-malonic acid (from metabolism of accumulated methyl-malonyl coA) |
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what tracts are affected by b12 defiency
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the longest ones, cs and dc
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function of folic acid
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coenzyme (as tetrahydrofolate) for 1-C transfer
in methylation reactions synthesis of purines/thymidine |
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1st vitamin to run out with rapidly dividing cells
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folate
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source of folate
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green leafy vegetables
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most common vitamin deficiency in USA
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folate
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folate deficiency
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megaloblastic anemia (- neuropathy)
neural tube defects homocysteinuria |
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folic acid precursor in bacteria
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paba
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drugs that are paba analogs
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sulfa drugs
dapsone |
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function of biotin
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carboxylation (ex clotting factors)
pyruvate -> OAcetate AcoA -> malonyl-coA propionyl-coA -> methylmalonyl-coA |
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causes of biotin deficiency
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ingest raw eggs
antibiotic use |
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biotin deficiency
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dermatitis
enteritis |
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function of vitamin c
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hydroxylation Pro/Lys in collagen synthesis
iron absorption (Fe2+) cofactor for catecholamine synthesis (dop -> ne) antioxidant at gut |
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milk vit d
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ergocalciferol
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sun-exposed skin vit d
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cholecalciferol
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storage form of vit d
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25-oh d3
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what tracts are affected by b12 defiency
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the longest ones, cs and dc
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function of folic acid
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coenzyme (as tetrahydrofolate) for 1-C transfer
in methylation reactions synthesis of purines/thymidine |
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1st vitamin to run out with rapidly dividing cells
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folate
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source of folate
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green leafy vegetables
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most common vitamin deficiency in USA
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folate
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folate deficiency
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megaloblastic anemia (- neuropathy)
neural tube defects homocysteinuria |
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folic acid precursor in bacteria
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paba
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drugs that are paba analogs
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sulfa drugs
dapsone |
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function of biotin
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carboxylation (ex clotting factors)
pyruvate -> OAcetate AcoA -> malonyl-coA propionyl-coA -> methylmalonyl-coA |
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causes of biotin deficiency
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ingest raw eggs
antibiotic use |
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biotin deficiency
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dermatitis
enteritis |
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function of vitamin c
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hydroxylation Pro/Lys in collagen synthesis
iron absorption (Fe2+) cofactor for catecholamine synthesis (dop -> ne) antioxidant at gut |
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milk vit d
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ergocalciferol
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sun-exposed skin vit d
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cholecalciferol
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storage form of vit d
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25-oh d3
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active form of vitamin D
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1,25 (oh) d3
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vitamin D function
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increases intestinal absorption of ca/p
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vit d deficiencies
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rickets - kids
osteomalacia - adults hypocalcemic tetany vid. d resistant rickets |
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lateral bowing (bending bones)
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vit. d deficiency
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soft bones in an adult
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osteomalacia
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vit d excess
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hypercalcemia
stupor, loss of appetite |
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systemic disease with a lot of vit. d
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sarcoidosis - epithelioid mac's convert vit. d into its active form
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function of vitamin E
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antioxidant at blood
skin, eyes, hair |
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vit. e deficiency
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hemolytic anemia - increased fragility of rbc's
neurodysfunction |
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vit. defiiciency with retinopathy and alzheimers
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vit. e deficiency
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functions of Fe
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hb
supports etc (complex 3 and 4) |
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most abundant mineral
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calcium
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ca function
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EC Ca- contraction of atria
IC ca - all muscles bone development neuronal development (nt release) |
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Cu function
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hydroxylation of Lysine
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Cu deficiency
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minky kinky hair
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cu toxicity
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wilson's disease
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treatment of wilson's
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penicillamine
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keiser fleisher rings
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wilson's disease
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deficiency in cu toxicity
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ceruloplasmin
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mineral for insulin action
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chromium
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mineral for heart; toxicity causes garlic breath
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selenium
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xanthine oxidase
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manganese
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important minerals for glycolysis
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manganese and molebdenium
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Mg function
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cofactor of kinases
cofactor of pth |
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hair growth
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tin
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bone/teeth growth
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fluoride
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catalyzes gamme carboxylation of gluatmic acid residues
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vitamin k
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vitamins related to the gut flora
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biotin
folate vit. k (90%) pantothenic acid helps absorb b12 |
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neonatal hemorrhage with high PT and high PTT but normal bleeding time
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vit. k
(bc neonates have sterile intestines, so can't synthesize vitamin K) |
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mineral predisposes to alcoholic cirrhosis
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zinc
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delayed wound healing + hypogonadism + dysgusia + decreased adult hair
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zinc deficiency
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vitamin for blood and neural development
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folate
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vitamin for blood and cns development
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cobalamine
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night blindness + dry skin
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vit A deficiency
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arthralgia + fatigue + ha + skin changes + sore throat + alopecia
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vit A excess
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moans, bones, groans, stones
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vit. a excess
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beri beri
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thiamine deficiency
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wenike-korsakoff
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thiamine deficiency
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for oxidative decarboxylation of alpha keto acids, pyruvate, branched chained aa, and transketolase
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thiamine
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polyneuritis, muscle wasting
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dry beri beri
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high output cardiac failure
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wet beri beri
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corneal vascularization + magenta tongue
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riboflavin deficiency
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carcinoid syndrome
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b3 deficiency
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diarrhea, dementia, dermatitis
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pellegra with b3 deficiency
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increased tryptophan metabolism
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carcinoid syndrome - b12 deficiency
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dermatitis + alopecia + enteritis + adrenal insufficiency
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pantothenic acid deficiency
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constiuent of coenzyme A
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pantothenic acid
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component of fatty acid synthesis and dehydrogenases
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pantothenic acid
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transamination
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pyridoxine
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heme synthesis
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pyridoxine
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megaloblastic anemia + neuropathy
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b12 deficiency
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cofactor for homocysteine methylation
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cobalamine
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methylmalonyl-coa handling
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cabalamine
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abnormal myelin
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cobalamine
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megaloblastic anemia (without neurologic symptoms)
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folate
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coenzyme for tetrahydrofolate (1 c transfer)
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folate
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methylation reactions
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folate
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synthesis of N bases
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folate
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in egg whites
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biotin
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scurvy
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ascorbic acid
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facilitates iron absorption
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ascorbic acid
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used in synthesis of catecholamines
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ascorbic acid
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deficiency causes increased fragility of erythrocytes
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vit. E
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antioxidant at blood
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E
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