0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Photo Essay |

Vitamin A Deficiency and Xerophthalmia in an Autistic Child

Thomas L. Steinemann, MD; Stephen P. Christiansen, MD
Arch Ophthalmol. 1998;116(3):392. doi:10.1001/archopht.116.3.392.
Text Size: A A A
Published online

Extract

A 5-YEAR-OLD boy with severe autism was referred to the corneal and external disease service with a history of bilateral corneal ulceration. The referring ophthalmologist had examined the child under anesthesia and noted an active corneal ulcer in the right eye and a healed ulcer in the left eye. The patient's mother stated that his eyes had appeared red and that he was light sensitive for several weeks, rubbing both eyes frequently during this time. She also noted that the child appeared to be clumsy, bumping into and falling over furniture inside the house.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure 1.

Lash hypertrichosis and refractile scales on skin over nasal bridge (hyperkeratosis).

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Right eye shows vasodilation, diffuse rose Bengal staining, and a corneal infiltrate.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.

Left eye shows rose Bengal staining and Bitot spots at the superior limbus.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 4.

Fundus of the left eye shows yellow flecks at the level of the retinal pigment epithelium.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 5.

Conjunctival biopsy specimen shows epidermalization with surface keratinization (hematoxylin-eosin, original magnification ×100).

Graphic Jump Location
Place holder to copy figure label and caption
Figure 6.

Keratomalacia with central descemetocele.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 15

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
PubMed Articles
Vitamin a deficiency. Cornea 2008;27(8):973; author reply 973.
Fried-potato diet causes vitamin A deficiency in an autistic child. JPEN J Parenter Enteral Nutr 2012;36(6):753-5.
Jobs
brightcove.createExperiences();