Rapidly progressing bilateral cataracts in a patient with beta thalassemia and pellagra

被引:8
作者
Athanasiadis, Ioannis
Konstantinidis, Aristeidis
Kyprianou, Ioannis
Robinson, Rosemary
Moschou, Vaia
Kouzi-Koliakos, Kokkona
机构
[1] Coventry & Warwickshire Univ Hosp NHS Trust, Dept Ophthalmol, Walsgrave Hosp, Coventry, W Midlands, England
[2] Aristotle Univ Thessaloniki, AHEPA Univ Hosp, Thessaloniki, Greece
关键词
D O I
10.1016/j.jcrs.2007.05.011
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Soon after the diagnosis of pellagra in a 20-year-old patient with beta thalassemia, bilateral intumescent cataracts rapidly developed. We believe the patient's crystalline lenses were at an increased oxidative state due to iron overload from the thalassemia. Depletion of the lens epithelial cells of an important antioxidative agent (glutathione) as a result of niacin (vitamin B3) deficiency due to pellagra reduced the antioxidative capacity of the lenses. The oxidative damage led to rapid development of cataracts.
引用
收藏
页码:1659 / 1661
页数:3
相关论文
共 10 条
[1]  
BEEBE DC, 2003, ADLERS PHYSL EYE CLI, P130
[2]   Diet and cataract -: The Blue Mountains Eye Study [J].
Cumming, RG ;
Mitchell, P ;
Smith, W .
OPHTHALMOLOGY, 2000, 107 (03) :450-456
[3]  
Dhawan V, 2005, INDIAN PEDIATR, V42, P1141
[4]   Use of vitamin supplements and cataract: The Blue Mountains Eye Study [J].
Kuzniarz, M ;
Mitchell, P ;
Cumming, RG ;
Flood, VM .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2001, 132 (01) :19-26
[5]   Cataract formation in a strain of rats selected for high oxidative stress [J].
Marsili, S ;
Salganik, RI ;
Albright, CD ;
Freel, CD ;
Johnsen, S ;
Peiffer, RL ;
Costello, MJ .
EXPERIMENTAL EYE RESEARCH, 2004, 79 (05) :595-612
[6]   Peroxidative stress and antioxidant enzymes in children with β-thalassemia major [J].
Naithani, R ;
Chandra, J ;
Bhattacharjee, J ;
Verma, P ;
Narayan, S .
PEDIATRIC BLOOD & CANCER, 2006, 46 (07) :780-785
[7]  
Popescu C, 1998, Oftalmologia, V45, P10
[8]   Protection from oxidative insult in glutathione depleted lens epithelial cells [J].
Reddan, JR ;
Giblin, FJ ;
Kadry, R ;
Leverenz, VR ;
Pena, JT ;
Dziedzic, DC .
EXPERIMENTAL EYE RESEARCH, 1999, 68 (01) :117-127
[9]  
Sorcinelli R, 1990, Metab Pediatr Syst Ophthalmol (1985), V13, P23
[10]   THE LINXIAN CATARACT STUDIES - 2 NUTRITION INTERVENTION TRIALS [J].
SPERDUTO, RD ;
HU, TS ;
MILTON, RC ;
ZHAO, JL ;
EVERETT, DF ;
CHENG, QF ;
BLOT, WJ ;
BING, L ;
TAYLOR, PR ;
YAO, LJ ;
DAWSEY, S ;
GUO, WD .
ARCHIVES OF OPHTHALMOLOGY, 1993, 111 (09) :1246-1253