BIOCHEMISTRY - NUTRITION Flashcards
Toxicity of what kind of vitamins are common
Fat soluble vitamin toxicity (due to its accumulation in fat)
Common causes of fat soluble vitamin deficiency
Malabsorption syndromes with steatorrhoea
Cystic fibrosis
Celiac diseases
Mineral oil intake
Which water soluble vitamins do not get washed off easily and where are they stored
B12 (stored in liver for 3 to 4 years)
B9 (stored in liver for 3 to 4 months)
Vitamin B complex deficiency result in?
Dermatitis
Glossitis
Diarrhoea
Vitamin A is also known as?
Retinol
Functions of Vitamin A
Constituent of visual pigments
Differentiation of epithelial cells to specialised tissues
Prevents squamous metaplasia
Treats - mealses and acute promyelocytic leukemia
Topical form of vitamin A used to treat wrinkles and acne
RETIN A
Treatment of cystic acne
ISORETINOIN
Night blindness Dry scalp Dry skin Bitot's spot Keratomalacia Immunosuppression occur in?
Vitamin A deficiency
Side effects of excess Vitamin A
Teratogenic (cleft lip and palate) Acute toxicity (nausea, blurred vision, vertigo) Chronic toxicity (alopecia, dry skin, hepatic toxicity and enlargement)
Vitamin B is also known as
THIAMINE
Vit B1 is a co-factor for what enzymes?
Branched chain ketoacid reductase
Alpha ketoglutarate dehydrogenase
pyruvate dehydrogenase
Transketolase
Vitamin B1 deficiency cause
Wernicke Korsakoff encephalopathy
Wet beriberi
Dry beriberi
Damage to medial dorsal nucleus and mamillary bodies occur in
WERNICKE KORSAKOFF ENCEPHALOPATHY
Confusion
Ophthalmoplegia
Ataxia triad occurs in?
WERNICKE KORSAKOFF ENCEPHALOPATHY
What reduces risk of developing Wernicke Korsakoff encephalopathy in alcoholics?
Administration of Thiamine (B1)
Polyneuropathy
Symmetrical muscle wasting
Identify the type of B1 deficiency
Dry beriberi
Complication of wet beriberi
High output cardiac failure (dilated cardiomyopathy)
Bilateral pedal edema
Enlarged heart (CXR)
Fatigue
Identify the type of B1 deficiency
Wet beriberi
Vitamin B2 is also known as
RIBOFLAVIN
Riboflavin is a component of ___ and ___
FAD & FMN
Inflammation of lips, scaling and fissures at corners of lips - known as?
Cheilosis (occurs in B2 deficiency)
Cheilosis
Corneal vascularization occurs in which deficiency?
B2 (Riboflavin) Deficiency
Vitamin B3 is also known as
Niacin
B3 is derived from
Tryptophan
Synthesis of B3 requires?
B2 and B6
Functions of B3 include
Treatment of dyslipidemia
Lowers levels of LDL and VLDL
Diarrhoea
Dementia
Dermatitis (hyper-pigmentation of sun exposed limbs) seen in?
Pellagra (B3 deficiency)
Glossitis occurs as a consequence of
B3 (Niacin) deficiency
Why patients with DM are discouraged from taking Niacin supplements
Since the side effect of Niacin is Hyperglycemia
Patients with active TB and begins treatment soon develops pellagra like symptoms, why?
Isoniacid - decreases B6 levels
Patient with dyslipedemia on taking meds increases facial flushing. How to manage this case?
Aspirin (reduces flushing) + Niacin
Facial flushing
Hyperglycema
Hyperurecemia seen in?
B3 (Niacin) toxicity
Vitamin B5 is also known as
Pantothenic acid
B5 is an essential component of
Coenzyme A
Fatty acid synthase
Dermatitis
Enteritis
Alopecia
Adrenal insufficiency seen in?
B5 (Pantothenic acid) deficiency
30 year old woman with critical malnutrition. Presents with Hypotension, Hypoglycemia, hair loss, rash, malnutrition and reduced adrenal gland function. Diagnosis?
B5 (Pantothenic acid) deficiency
Vitamin B6 is known as
Pyridoxine
B6 - pyridoxal phosphate, is a co-factor for the following reactions?
Transamination
Decarboxylation reaction