Vitamin A Deficiency from Long-Term Parenteral Nutrition
Authors: LYN HOWARD
Journal: Annals of Internal Medicine (1980)

Brief Reports1 October 1980Vitamin A Deficiency from Long-Term Parenteral NutritionLYN HOWARD, M.B., RICHARD CHU, Ph.D., STEPHEN FEMAN, M.D., HOWARD MINTZ, B.A., LARS OVESEN, M.D., BRUCE WOLF, M.S.LYN HOWARD, M.B., RICHARD CHU, Ph.D., STEPHEN FEMAN, M.D., HOWARD MINTZ, B.A., LARS OVESEN, M.D., BRUCE WOLF, M.S.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-93-4-576 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn the past 10 years some 500 Americans have been discharged home on self-administered parenteral nutrition (Registry of Patients on Home Parenteral Nutrition, New York Academy of Science, 2 East 103 Street, New York, NY 10029). In most of these patients the underlying gastrointestinal disorder is some form of extreme short bowel syndrome, such as Crohn's or mesenteric infarction (1). Most home parenteral nutrition patients experience rapid regain of weight and strength; septic complications are rare (2), and not infrequently these persons return to full-time work. Although the typical hospital intravenous nutrition patient is seriously ill with multiple metabolic disturbances,...References1. BROVIAC J and SCRIBNER B, Prolonged parenteral nutrition in the home. Surg Gynecol Obstet. 1974;139:24-8. MedlineGoogle Scholar2. JEEJEEBHOY K, LANGER B, TSALLAS G, CHU R, KUKSIS A, and ANDERSON G. Total parenteral nutrition at home; studies in patients surviving 4 months to 5 years. Gastroenterolgy. 1976;71:943-53. CrossrefMedlineGoogle Scholar3. OKADA A, TAKAGI Y, and IRAKURA T. Skin lesions during intravenous hyperalimentation: zinc deficiency. Surgery. 1976;80:629-35. MedlineGoogle Scholar4. HELLER R, KIRCHNER S, and O'NEILL J. Skeletal changes of copper deficiency in infants receiving prolonged total parenteral nutrition. J Pediatr. 1978:92:947-9. CrossrefMedlineGoogle Scholar5. JEEJEEBHOY K, CHU R, MARLISS E, GREENBERG G, and BRUCE-ROBERTSON A. Chromium deficiency, glucose intolerance, and neuropathy reversed by chromium supplementation, in a patient receiving long term parenteral nutrition. Am J Clin Nutr. 1977;30:531-8. CrossrefMedlineGoogle Scholar6. VANRIJ A, THOMPSON C, MCKENZIE J, and ROBINSON M. Selenium deficiency in total parenteral nutrition. Am J Clin Nutr. 1979;32:207685. Google Scholar7. RIELLA M, BROVIAC J, WELLS M, and SCRIBNER B. Essential fatty acid deficiency in human adults during total parenteral nutrition. Ann Intern Med. 1975:83:786-9. LinkGoogle Scholar8. MOORHATCH P and CHIOU W. Interactions between drugs and plastic intravenous fluid bags. Am J Hosp Pharm. 1974;31:149-51. MedlineGoogle Scholar9. HARTLINE J and ZACHMAN R. Vitamin A delivery in total parenteral nutrition solutions. Pediatrics. 1976;58:448-51. CrossrefMedlineGoogle Scholar This content is PDF only. 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Author, Article, and Disclosure InformationAuthors: LYN HOWARD, M.B.; RICHARD CHU, Ph.D.; STEPHEN FEMAN, M.D.; HOWARD MINTZ, B.A.; LARS OVESEN, M.D.; BRUCE WOLF, M.S.Affiliations: Albany Medical College Veterans Administration Medical Center Albany, New York Vanderbilt University Nashville, Tennessee PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byIndications and complications of inpatient parenteral nutrition prescribed to children in a large tertiary referral hospitalFat-soluble vitamins in nutrition supportVitamin A Metabolism in the Fetus and NeonateClinical Management Strategies and Implications for Parenteral Nutrition Drug Shortages in Adult PatientsControversies in Neonatal NutritionVitamin A Metabolism in the Fetus and NeonateWernicke's encephalopathy in a patient with short bowel syndrome on total parenteral nutrition: A case reportIncreased Oxidants and Reduced Antioxidants in Irradiated Parenteral Nutrition Solutions May Contribute to the Inflammatory ResponseHypervitaminosis A in Pediatric Hematopoietic Stem Cell Patients Requiring Renal Replacement TherapyMacro and MicronutrientsPrinciples and Strategies for Monitoring Home Parenteral NutritionMicronutrient Assessment in Long-Term Home Parenteral Nutrition PatientsVitaminsStability and compatibility assessment techniques for total parenteral nutrition admixtures: setting the bar according to pharmacopeial standardsAssessment of Ascorbic Acid Stability in Different Multilayered Parenteral Nutrition Bags: Critical Influence of the Bag Wall MaterialSafe Practices for Parenteral NutritionVitamin A Metabolism in the Fetus and NeonateComplications Associated With Drug and Nutrient InteractionsManagement of complications in patients receiving home parenteral nutritionA critical assessment of some biomarker approaches linked with dietary intakePrise en charge à long terme du grêle court (adulte)Compatibility and stability of additives in parenteral nutrition admixturesHOME PARENTERAL NUTRITIONRetinol and retinyl ester concentrations in rat tissues during total parenteral nutritionSafe Practices for Parenteral Nutrition FormulationsSafe Practices for Parenteral Nutrition FormulationsStability of ranitidine and thiamine in parenteral nutrition solutionsDecreases in retinol and retinol-binding protein during total parenteral nutrition in rats are not due to a vitamin A deficiencyTrace element and vitamin requirements in patients receiving parenteral nutritionChanging concepts of nutrient requirements in disease: implications for artificial nutritional supportEarly vs Delayed Vitamin A Supplementation in Very-Low-Birth-Weight InfantsStability of Fat-Soluble Vitamins A (Retinol Palmitate), E (Tocopherol Acetate), and K1 (Phylloquinone) in Total Parenteral Nutrition at HomeIssues in Contemporary Drug Delivery: Part V: Total Parenteral NutritionInfluence of container on vitamin A stability in TPN admixturesPlasma retinol-binding protein response to vitamin A administration in infants susceptible to bronchopulmonary dysplasiaThe Neurologic Syndrome of Vitamin E Deficiency: Laboratory and Electrophysiologic AssessmentAdvances in Hospital NutritionVitamin A in parenteral nutrition: uptake and distribution of retinyl esters after intravenous applicationRetinol (vitamin A) and the neonate: special problems of the human premature infant4 Clinical aspects of vitamin and trace element metabolismEffect of Intralipid, Amino Acids, Container, Temperature, and Duration of Storage on Vitamin Stability in Total Parenteral Nutrition AdmixturesHypocarotenemia in Patients Fed Enterally with Commercial Liquid DietsPlasma Vitamin and Mineral Status in Home Parenteral Nutrition PatientsClinical trial of vitamin A supplementation in infants susceptible to bronchopulmonary dysplasiaProblems of Trace Elements and Vitamins during Long-Term Total Parenteral Nutrition: A Case Report of Idiopathic Intestinal Pseudo-obstructionAdverse Metabolic Consequences of Nutritional Support: MicronutrientsVitamin and essential trace element recommendations during intravenous nutrition: theory and practiceDecrease of Available Vitamin A in Parenteral Nutrition SolutionsEffect of Enteral Feeding Bag Composition and Freezing and Thawing upon Vitamin Stability in an Enteral Feeding SolutionAn amphotericin B-resistant case of rhinocerebral mucor mycosisTotal Parenteral Nutrition in ChildrenBlood Vitamin Levels of Long-Term Adult Home Total Parenteral Nutrition Patients: The Efficacy of the AMA-FDA Parenteral Multivitamin FormulationTotal Parenteral Nutrition in the Newborn: An UpdateNutrient Deficiencies during Total Parenteral NutritionSTORAGE OF MIXTURES FOR TOTAL PARENTERAL NUTRITION III. STABILITY OF VITAMINS IN TPN MIXTURESVitamin A losses to plastic intravenous infusion devices and an improved method of deliveryCOMPATIBILITY AND STABILITY OF TPN MIXTURES IN BIG BAGSExperience with home parenteral nutritionCellular Localization of Liver Vitamin A in Rats Given Total Parenteral Nutrition (TPN) Solutions Intravenously or OrallyWater soluble vitamin requirements in home parenteral nutrition patientsDelivery of Vitamins A, D, and E in Total Parenteral Nutrition SolutionsIn vitro retinoid binding and release from a collagen sponge material in a simulated intravaginal environmentVitamins in Pharmaceutical FormulationsAcute Visual Loss after GastroplastySerum vitamin level maintenance in cancer patients on total parenteral nutritionTissue storage of vitamins A and E in rats drinking or infused with total parenteral nutrition solutionsDeficiencies of essential and conditionally essential nutrientsThe influence of light on vitamin A degradation during administrationIntravenous infusions — solutions and emulsionsAntigenic characterization of some potentially pathogenic mucoraceous fungiNutritional Assessment in Total Parenteral NutritionVitamin A delivery from parenteral alimentation solution 1 October 1980Volume 93, Issue 4Page: 576-577KeywordsInfarctionMedical servicesNutritionResearch grantsVitamin A ePublished: 1 December 2008 Issue Published: 1 October 1980 PDF downloadLoading ...