Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder
Abstract Background There have been reports of isolated trace elements or vitamin deficiencies due to imbalanced diets, but no cases of selenium deficiency combined with scurvy have been reported. Case presentation A 7 year-old boy diagnosed with autistic spectrum disorder and mild psychomotor retar...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40795-023-00703-2 |
| _version_ | 1797865357992525824 |
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| author | Makoto Okada Yugo Nagayama Hitomi Saiki Kazutoshi Ito Shuichi Yatsuga Shinichiro Nagamitsu |
| author_facet | Makoto Okada Yugo Nagayama Hitomi Saiki Kazutoshi Ito Shuichi Yatsuga Shinichiro Nagamitsu |
| author_sort | Makoto Okada |
| collection | DOAJ |
| description | Abstract Background There have been reports of isolated trace elements or vitamin deficiencies due to imbalanced diets, but no cases of selenium deficiency combined with scurvy have been reported. Case presentation A 7 year-old boy diagnosed with autistic spectrum disorder and mild psychomotor retardation, started an imbalanced diet including specific snacks and lacto-fermenting drinks from 5 years of age. Gingival hemorrhage and perioral erosions occurred at 6 years and 8 months of age, and he was referred to our hospital at 7 years of age. Slight tachycardia was found. Serum vitamin C level was 1.1 µg/dL (reference range (rr): 5–17.5 µg/dL), and selenium level was 2.8 µg/dL (rr: 7.7–14.8 µg/dL). He was diagnosed with both selenium deficiency and scurvy. Multivitamins and sodium selenate were administered for 12 days during admission, and symptoms of selenium deficiency and scurvy improved. After discharge, symptoms abated following the administration of multivitamins and regular administration of sodium selenate every 3 months. Conclusions We report a complicated case of both selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks in a 7-year-old boy with autism spectrum disorder. In patients with imbalanced diet, regular blood tests including trace elements and vitamins are necessary. |
| first_indexed | 2024-04-09T23:06:44Z |
| format | Article |
| id | doaj.art-cb1970baf99a4b82bf3fb9ff53995ca7 |
| institution | Directory Open Access Journal |
| issn | 2055-0928 |
| language | English |
| last_indexed | 2024-04-09T23:06:44Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nutrition |
| spelling | doaj.art-cb1970baf99a4b82bf3fb9ff53995ca72023-03-22T10:39:17ZengBMCBMC Nutrition2055-09282023-03-01911410.1186/s40795-023-00703-2Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorderMakoto Okada0Yugo Nagayama1Hitomi Saiki2Kazutoshi Ito3Shuichi Yatsuga4Shinichiro Nagamitsu5Department of Pediatrics, Faculty of Medicine, Fukuoka UniversityDepartment of Pediatrics, Faculty of Medicine, Fukuoka UniversityDepartment of Pediatrics, Faculty of Medicine, Fukuoka UniversityDepartment of Pediatrics, Faculty of Medicine, Fukuoka UniversityDepartment of Pediatrics, Faculty of Medicine, Fukuoka UniversityDepartment of Pediatrics, Faculty of Medicine, Fukuoka UniversityAbstract Background There have been reports of isolated trace elements or vitamin deficiencies due to imbalanced diets, but no cases of selenium deficiency combined with scurvy have been reported. Case presentation A 7 year-old boy diagnosed with autistic spectrum disorder and mild psychomotor retardation, started an imbalanced diet including specific snacks and lacto-fermenting drinks from 5 years of age. Gingival hemorrhage and perioral erosions occurred at 6 years and 8 months of age, and he was referred to our hospital at 7 years of age. Slight tachycardia was found. Serum vitamin C level was 1.1 µg/dL (reference range (rr): 5–17.5 µg/dL), and selenium level was 2.8 µg/dL (rr: 7.7–14.8 µg/dL). He was diagnosed with both selenium deficiency and scurvy. Multivitamins and sodium selenate were administered for 12 days during admission, and symptoms of selenium deficiency and scurvy improved. After discharge, symptoms abated following the administration of multivitamins and regular administration of sodium selenate every 3 months. Conclusions We report a complicated case of both selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks in a 7-year-old boy with autism spectrum disorder. In patients with imbalanced diet, regular blood tests including trace elements and vitamins are necessary.https://doi.org/10.1186/s40795-023-00703-2Autism spectrum disorderSelenium deficiencyScurvy |
| spellingShingle | Makoto Okada Yugo Nagayama Hitomi Saiki Kazutoshi Ito Shuichi Yatsuga Shinichiro Nagamitsu Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder BMC Nutrition Autism spectrum disorder Selenium deficiency Scurvy |
| title | Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder |
| title_full | Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder |
| title_fullStr | Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder |
| title_full_unstemmed | Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder |
| title_short | Selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto-fermenting drinks: a case report of a 7-year-old boy with autism spectrum disorder |
| title_sort | selenium deficiency and scurvy due to an imbalanced diet of snacks and lacto fermenting drinks a case report of a 7 year old boy with autism spectrum disorder |
| topic | Autism spectrum disorder Selenium deficiency Scurvy |
| url | https://doi.org/10.1186/s40795-023-00703-2 |
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