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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1987-11-13
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pubmed:abstractText |
A 2-year-old boy had signs and symptoms of chronic hypervitaminosis A. A course of increasing severity led to eventual death. A younger brother later had similar clinical features. Chicken liver spread containing up to 420 IU/g vitamin A was the likely source of intoxication. Markedly elevated circulating retinyl ester levels have persisted in the surviving sibling for 3 subsequent years despite severe restriction of vitamin A intake. A therapeutic trial of the carbohydrate-derived complexing agent 2-hydroxypropyl-beta-cyclodextrin was initiated. Circulating retinyl esters transiently increased during the infusion (from 407 to 4791 micrograms/dL), and urinary total vitamin A excretion, undetectable before infusion, increased to 23 micrograms/dL after infusion. The frequency of hypervitaminotic episodes has decreased somewhat in the 2 years since the infusion, probably related to dietary vitamin A restriction. The occurrence of this syndrome in two brothers, while a sister ingesting the same diet remains completely healthy, suggests an inherited variance in tolerance to vitamin A intake.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Carboxylic Ester Hydrolases,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclodextrins,
http://linkedlifedata.com/resource/pubmed/chemical/Esters,
http://linkedlifedata.com/resource/pubmed/chemical/Retinoids,
http://linkedlifedata.com/resource/pubmed/chemical/Vitamin A,
http://linkedlifedata.com/resource/pubmed/chemical/beta-Cyclodextrins,
http://linkedlifedata.com/resource/pubmed/chemical/retinyl esterase
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0022-3476
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
111
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
507-12
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3655980-Carboxylic Ester Hydrolases,
pubmed-meshheading:3655980-Child, Preschool,
pubmed-meshheading:3655980-Cyclodextrins,
pubmed-meshheading:3655980-Esters,
pubmed-meshheading:3655980-Humans,
pubmed-meshheading:3655980-Hypervitaminosis A,
pubmed-meshheading:3655980-Infusions, Intravenous,
pubmed-meshheading:3655980-Male,
pubmed-meshheading:3655980-Retinoids,
pubmed-meshheading:3655980-Vitamin A,
pubmed-meshheading:3655980-beta-Cyclodextrins
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pubmed:year |
1987
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pubmed:articleTitle |
Severe hypervitaminosis A in siblings: evidence of variable tolerance to retinol intake.
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pubmed:affiliation |
Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut 06510.
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pubmed:publicationType |
Journal Article,
Case Reports
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