{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:23:01Z","timestamp":1788384181786,"version":"build-2803163510"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,8,31]]},"abstract":"<jats:p>We report a case of inadequate diet (caused by extreme self-neglect and alcohol excess) which led to chronic severe deficiencies of vitamins A, D and E. At presentation the patient had widespread follicular hyperkeratosis of the skin, keratomalacia of both eyes and a severe cognitive impairment. He responded well to treatment including high dose parenteral vitamins, but lasting impairments in his vision and cognition have caused permanent disability.<\/jats:p>","DOI":"10.1136\/bcr-2014-204523","type":"journal-article","created":{"date-parts":[[2014,9,22]],"date-time":"2014-09-22T07:03:00Z","timestamp":1411369380000},"page":"bcr2014204523","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Multiple vitamin deficiencies in a patient with a history of chronic alcohol excess and self-neglect in the UK"],"prefix":"10.1136","volume":"2014","author":[{"given":"Jon Mark","family":"Dickson","sequence":"first","affiliation":[{"name":"Academic Unit of Primary Medical Care, The University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Naylor","sequence":"additional","affiliation":[{"name":"Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Colver","sequence":"additional","affiliation":[{"name":"Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"J Powers","sequence":"additional","affiliation":[{"name":"Human Nutrition Unit, The University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Masters","sequence":"additional","affiliation":[{"name":"Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,9,22]]},"reference":[{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-832941"},{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.2","doi-asserted-by":"publisher","DOI":"10.3390\/nu4050356"},{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.307.6912.1106"},{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.4","unstructured":"World Health Orgnisation. Vitamin and mineral requirements in human nutrition. Geneva, 2004."},{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.5","doi-asserted-by":"crossref","first-page":"1835","DOI":"10.1093\/jn\/138.10.1835","article-title":"Vitamin A deficiency and clinical disease: an historical overview","volume":"138","author":"Sommer","year":"2008","journal-title":"J Nutr"},{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.6","unstructured":"World Health Orgnisation. Global prevalence of Vit A deficiency in populations at risk 1995\u20132005. WHO global database on Vitamin A deficiency. Geneva, 2009."},{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39581.411424.80"},{"key":"2025082701220644000_2014.sep22_1.bcr2014204523.8","doi-asserted-by":"publisher","DOI":"10.1080\/10408360802118625"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:22:13Z","timestamp":1756282933000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,22]]},"references-count":8,"alternative-id":["10.1136\/bcr-2014-204523"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204523","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,22]]}}}