MICRONUTRIENTS Flashcards
Formula for % saturation or transferrin saturation
(Serum Fe / TIBC) x 100
Reference range for % saturation or transferrin saturation
20-50%
Reference range for ferritin (women)
12-125 µg/L
Reference range for ferritin (men)
30-250 µg/L
Characteristic finding that shows decreased serum iron, % saturation, and ferritin
Iron deficiency anemia (↑TIBC)
Characteristic finding that shows decreased serum iron, % saturation, and TIBC, with increased ferritin
Anemia of chronic inflammation
Characteristic finding that shows increased serum iron, % saturation, and ferritin with decreased TIBC
Hemochromatosis (iron overload)
Relationship of Ferritin and TIBC
Inversely proportional
Characteristic finding that shows deficiency in zinc
Acrodermatitis enteropathica, Chronic liver and kidney disease, Alcoholism, diets low in zinc
Characteristic finding that shows overload/toxicity of zinc
Administration of high doses, Exposure to ZnO fumes
Characteristic finding that shows deficiency in copper
Chronic copper loss, Aceruloplasminemia, Menke’s syndrome (kinky hair)
Characteristic finding that shows overload/toxicity of copper
Wilson’s disease (failure to excrete Cu in bile), Excess copper in liver, brain, eyes (Kayser-Fleischer rings)
Characteristic finding that shows deficiency in Vitamin A
Night blindness
Function of Vitamin A
Component of retinal rod
Characteristic finding that shows deficiency in Vitamin D
Rickets, Osteomalacia
Function of Vitamin D
Absorption of Ca and P
Characteristic finding that shows deficiency in Vitamin E
Mild hemolytic anemia, Red cell fragility, Ataxia
Function of Vitamin E
Antioxidant, RBC integrity
Characteristic finding that shows deficiency in Vitamin K
Hemorrhage, bruising, post-traumatic bleeding
Function of Vitamin K
Cofactor of procoagulant
Characteristic finding that shows deficiency in Vitamin C
Scurvy
Function of Vitamin C
Hydroxylation of collagen
Characteristic finding that shows deficiency in Vitamin B1
Beri-beri, Wernicke-Korsakoff syndrome
Function of Vitamin B1
Coenzyme in decarboxylation reactions
Characteristic finding that shows deficiency in Vitamin B2
Angular stomatitis, Dermatitis, Photophobia, Neurologic changes
Function of Vitamin B2
Converted to flavin coenzyme
Characteristic finding that shows deficiency in Vitamin B3
Pellagra
Function of Vitamin B3
Component of NAD and NADP, redox reactions
Characteristic finding that shows deficiency in Vitamin B5
Paresthesia, Depressed immune system, Muscle weakness
Function of Vitamin B5
Incorporated in coenzyme A
Characteristic finding that shows deficiency in Vitamin B6
Facial seborrhea, Cheilosis, Glossitis, Dermatitis, Peripheral neuropathy
Function of Vitamin B6
Coenzyme in many intermediary reactions
Characteristic finding that shows deficiency in Vitamin B7
Dermatitis, Glossitis, Hair loss, Depression
Function of Vitamin B7
Cofactor in carboxylation reactions
Characteristic finding that shows deficiency in Vitamin B9
Megaloblastic anemia, NTD (Neural tube defects)
Function of Vitamin B9
DNA and amino acid synthesis
Characteristic finding that shows deficiency in Vitamin B12
Megaloblastic anemia
Function of Vitamin B12
Folate metabolism and DNA synthesis