ABSTRACT
Acute vitamin A toxicity from a large dose has been reported to cause pseudotumour cerebri. Usually it is common in children. Herein we present the case of a young lady of 18 years old with the complaints of headache, vomiting, back pain and diplopia after ingestion of high dose (about 10 million international units) vitamin A capsule intentionally at a time due to some family problems. She gave no history of fever, convulsion, unconsciousness, pain in eyes, difficulties in walking and jaundice or any urinary problem during this illness. On query she gave no history of taking any other drugs including oral contraceptive and tetracycline & steroids. She also gave no history of sleep disorder. There was bilateral papilloedema, pupils were a bit dilated symmetrically but reacting to light, visual acuity 6/60 on left eye and 6/18 on right eye and bilateral 6th cranial nerve palsy more marked on left side. MRI of brain and orbits showed normal study. Patient improved after giving acetazolamide.
Subject(s)
Hypervitaminosis A/diagnosis , Acetazolamide/therapeutic use , Acute Disease , Adolescent , Carbonic Anhydrase Inhibitors/therapeutic use , Diagnosis, Differential , Diagnostic Imaging , Female , Humans , Hypervitaminosis A/drug therapy , Hypervitaminosis A/psychologySubject(s)
Acne Vulgaris/drug therapy , Depressive Disorder/chemically induced , Isotretinoin/adverse effects , Acne Vulgaris/psychology , Administration, Topical , Adolescent , Adult , Depressive Disorder/diagnosis , Depressive Disorder/psychology , Female , Humans , Hypervitaminosis A/psychology , Isotretinoin/administration & dosage , Male , Patient Care TeamABSTRACT
The paper describes three cases of dependence on carotenoids with typical symptoms of irritability and nervousness accompanying their abstinence, with a long-term dependence, and an inability to simply discontinue. Three patients (a man and two women) all being smokers, evaluated this dependence as very similar to that on tobacco. The limitation of further use had the same effect in both cases. The women evaluate the dependence as stronger than that on cigarettes, the man as somewhat weaker. The former patient--a woman--even relapsed, and recently found herself in danger of further relapse. This, however, she nipped in the bud. Laboratory enzyme examinations revealed a disorder in the enzymatic outfit affecting the auto-immunity and the neurovegetative system.
