Topic 51 Flashcards Preview

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Flashcards in Topic 51 Deck (21)
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1

Riboflavin (B2) deficiency (etiology)

-malnutririon
-malabsorbtion
-alcoholism
-conditions, leading to protein malnutrition
(children not consuming any milk)

2

Riboflavin (B2) deficiency (symptoms)

- Seborrheic dermatitis: * skin
* face
* nasal apertures
* nasolabial folds

3

Riboflavin (B2) deficiency (oral symptoms)

- angular cheilitis:
in the beginning: yellowis, scaly crusts on the corner of the mouth, then they become red, deep, painfull fissures
(pebbly appearance),
they bleed easily
- Tongue: atrophic, magenta in colour, painfull, fissured

4

Riboflavin (B2) deficiency (differential diagnosis)

-anemia caused by
iron deficiency
-chronic atrophic
candidiasis

5

Riboflavin (B2) deficiency (therapy)

- riboflavin

6

Nicotinamide (B3) deficiency-pellagra
(etiology)

- protein malnutrition
- anacidity
- gastroenteritis
- congenital metabolic disorders
- chronic alkoholism

7

Nicotinamide (B3) deficiency-pellagra
(symptoms)

- loss of appetite
- weakness
In more evolved cases:
- dermatitis
- dementia
- diarrhea

8

Nicotinamide (B3) deficiency-pellagra
(oral symptoms)

Tongue:
- atrophic filiform papillae
- swollen
- painful
- burning
- red, resembles „raw meat”

9

Nicotinamide (B3) deficiency-pellagra
(differential diagnosis)

- pernicious anaemia
- anaemia caused by
iron deficiency
- Sjögren’s sy.

10

Nicotinamide (B3) deficiency-pellagra
(therapy)

- Substitution of
nicotinic acid

11

Folic acid (B6) deficiency (etiology)

- imbalanced nutrition
(vegetables and fruits)
- malabsorption
(celiac disease)
- alcoholism
- anorexia
- cancerous disease
- pregnancy
- hemolytic anaemia
- medication
(contraceptives, phenytoin, anticonvulsive drugs)
- accompanied by the lack of vit. B12
- The lack of folic acid demages
protein synthesis and cell division

12

Folic acid (B6) deficiency (symptoms)

- erythemas
- atrophic, painful tongue
(filiform, fungiform papillae disappear)
- aphtous ulcers
- angular cheilitis

13

Folic acid (B6) deficiency (diagnosis)

- serum folic acid and B12 levels

14

Folic acid (B6) deficiency (differential diagnosis)

- Anaemia
- Other B vit. deficiencies

15

Folic acid (B6) deficiency (therapy)

- substitution of folic acid and B12
- local symptomatic treatment

16

Vitamin C deficiency-scurwy
(etiology)

- insufficient nutrition
(poverty, elderly age, chronic alcoholism)
1. In infancy or chilhood: Möller-Barlow disease
-disturbances of bone development
2. In adults
-demaged collagen synthesis
-failed connective tissue regeneration

17

Vitamin C deficiency-scurwy
(symptoms)

- hyperkeratotic hair follicule
- perifollicular bleeding

18

Vitamin C deficiency-scurwy
(oral symptoms)

- swollen gingiva
(cover the crown)
- easy or spontaneusly
bleeding gingiva
- pain of mandibular bones
- gingiva necrosis around bleeding area
- accompany oral odor and fusospirochaetal stomatitis
(cause swift destruction of alveoli and loss of teeth)
- patients without teeth have not oral symptomes except bleeding
- ulcerativ stomatitis (also by patient without teeth
- TMJ haemorrhage

19

Vitamin C deficiency-scurwy
(diagnosis)

- Rumpel-Leede sign is positive

20

Vitamin C deficiency-scurwy
(differential diagnosis)

- ulcerative, necrotising,
herpetic gingivostomatitis
- leukaemia
- agranulocytosis

21

Vitamin C deficiency-scurwy
(therapy)

- ascorbic acid