Photophobia, Vitamin E deficiency. The clinical presentation here is hemolytic anemia in the premature infants, loss of neural integrity, neurological changes. These patients usually get problems, if you follow them, they have decreased reflexes if they get vitamin E deficiency. They then may have problems with sensory changes and have problems with positional sense, have Vitamin D toxicity. Again, that is a pretty unusual occurrence in the general population.
Most parents don t usually give that.
Now a little bit about the trace metals. Well zinc deficiency is usually associated with diarrhea. Patients who have chronic diarrhea with mucosal malabsorption are very prone to get zinc deficient. Patients with short bowel syndrome who are not managed effectively are Patients who are zinc deficient will also have decreased appetite. Zinc deficiency has been recognized to be seen in patients with cystic fibrosis, but I do not think it is associated with the anorexia in that condition.