Vitamin A Deficiency Follow-up

Updated: Oct 12, 2016
  • Author: George Ansstas, MD; Chief Editor: George T Griffing, MD  more...
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Follow-up

Further Outpatient Care

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  • Follow-up care with a primary care physician is recommended.
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Further Inpatient Care

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  • Patients with VAD seldom need to be admitted to the hospital unless they also have a serious associated condition. Patients with sepsis, severe dehydration, and/or metabolic derangements should be admitted to the hospital.
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Inpatient & Outpatient Medications

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  • Patients should take oral vitamin A at prescribed doses until the deficiency resolves.
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Deterrence/Prevention

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  • Liver, beef, chicken, eggs, whole milk, fortified milk, carrots, mangoes, orange fruits, sweet potatoes, spinach, kale, and other green vegetables are among foods rich in vitamin A.
  • Eating at least 5 servings of fruits and vegetables per day is recommended in order to provide a comprehensive distribution of carotenoids.
  • A variety of foods, such as breakfast cereals, pastries, breads, crackers, and cereal grain bars, are often fortified with 10-15% of the RDA of vitamin A.
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Prognosis

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  • Prognosis is good if patients are treated when the deficiency is subclinical.
  • Morbidity increases once blindness has progressed or an infection has been acquired.
  • Irreversible conditions include punctate keratopathy, keratomalacia, and corneal perforation.
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Patient Education

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  • Eating at least 5 servings of fruits and vegetables per day is recommended in order to provide a comprehensive distribution of carotenoids.
  • Patients may visit the National Institutes of Health (NIH) website for more information (see Dietary Supplement Fact Sheet: Vitamin A and Carotenoids).
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