Skin Manifestation in Nutritinal Deficiency
-
Upload
tarapat-auppatham -
Category
Documents
-
view
16 -
download
2
description
Transcript of Skin Manifestation in Nutritinal Deficiency
![Page 1: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/1.jpg)
Skin manifestation in nutritinal deficiency
![Page 2: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/2.jpg)
![Page 3: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/3.jpg)
![Page 4: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/4.jpg)
![Page 5: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/5.jpg)
![Page 6: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/6.jpg)
Outline
• What is nutrition• Macronutrient• - Protein-energy malnutrition• - Essential Fatty acids• Micronutrient• - Fat soluble vitamin (Vit A, D, E, K)• - Water soluble vitamin (Vit Bcomplex, C)• Mineral
![Page 7: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/7.jpg)
Nutrition
• Nutrition is the complex series of events by• Which living organism consume and assimilate
foods and other nutrients to live, grow, and maintain homeostasis
• Macronutrient Vs Micronutrient• Macronutrient : Protein Carbohydrate Fat• Micronutrient : Vitamin
![Page 8: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/8.jpg)
Protein-Energy malnutrition
• Inadequate diet, Low education, war ,etc.• Varies degree of protein and calorie deficiency• Marasmus VS Kawashiorkor• Marasmus means : wasting • < 60% expected body weight for age• Kawashiorkor means: The one who is disposed• 60-80% expected body weight for age
![Page 9: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/9.jpg)
• Adaptive starvation >> Marasmus - First 24 hr : muscle break down
gluconeogenesis- Fat break down : ketone body : brain • Non-Adaptive >> Kawashiorkor- Carbohydrate > Protein ; decrease protein
production
![Page 10: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/10.jpg)
• Failure to thrive, poor weight gain, stunting• Marasmus : dry skin, look wrinkle skin,
increase lanugo hair, Monkey face, abdominal distension (abd M.hypotonia), rectal prolapse
Decrease resting BT, bradycardia• Kawashorkor : edematous or wet PEM,
Crazy pavement, Flag sign, abdominal distension(cirrhosis),
![Page 11: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/11.jpg)
![Page 12: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/12.jpg)
![Page 13: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/13.jpg)
Monkey face
![Page 14: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/14.jpg)
Essential fatty acid
• Inadequate intake, malabsorption, excessive loss, alcoholic, anorexia nervosa
• 18 20 22 carbon EFA cannot synthesis by human
• Omega-3 : Alpha linoleic acid• Omega-6 : linoleic acid
![Page 15: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/15.jpg)
![Page 16: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/16.jpg)
• Xerosis, scaly, diffuse erythema, poor wound healing, brittle nail, alopecia, blunted immune response
• Oleic >> 5,8,11 eicosatrienoic acid (abnormal byproduce)
• Increase 5,8,11 eicosatrienoic acid/arachinoic acid > 0.2 : EFA deficiency
![Page 17: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/17.jpg)
• รู�ปภาพ .....+ sunflower ,safflower oil.
![Page 18: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/18.jpg)
Vitamin A
![Page 19: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/19.jpg)
• Retinal photoreceptor function, epithelial proliferation, keratinization
• Carotinoid = 2 retinal• Retinal >> retinol , intestinal villous cell • Liver was the retinyl ester storage
![Page 20: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/20.jpg)
• Vitamin A deficiency : ocular and cutaneous• Inadequate intake, fat malabsorption, liver
disease• Nyctalopia > xerophthalmia• Xerosis bacillus > Bitot spot• Keratomalacia• Xerosis skin,dermomalacia, toad skin,
keratotic follicular
![Page 21: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/21.jpg)
• Normal vitamin A level 20-50 mcg/dL• 1000-1500 IU : recommend daily allowance• 100,000-300,000 IU : treatment• Follow symptom or normalized Vit A level
![Page 22: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/22.jpg)
• Vitamin A toxicity : Acute VS chronic• Acute : > 20 times of RDA in child• > 100 times of RDA in adule• Chronic : daily ingestion 25,000 IU/d more
than 6 years or > 100,000 more than 6 mo• Dry, scaly, large area of desquamation,
fissureing of lip, pseudo tumor cerebri, arthalgia
![Page 23: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/23.jpg)
![Page 24: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/24.jpg)
• รู�ป + อาหารูแนะน า
![Page 25: Skin Manifestation in Nutritinal Deficiency](https://reader035.fdocuments.us/reader035/viewer/2022062314/55cf9a17550346d033a06c5d/html5/thumbnails/25.jpg)