Vitamin deficiency diseases

 

Clinical Correlation: Vitamin Deficiency Diseases

Vitamin Primary Deficiency Disease Key Clinical Findings
A Xerophthalmia Night blindness, dry eyes (xerosis), Bitot spots.
B1 Beriberi / Wernicke-Korsakoff Wet (HF), Dry (polyneuritis), WKS (ataxia, confusion, confabulation).
B2 Ariboflavinosis Cheilosis, stomatitis, glossitis, and corneal vascularization.
B3 Pellagra Dermatitis (C3/C4), Diarrhea, Dementia, Glossitis.
B9 Folate Deficiency Megaloblastic anemia, glossitis, no neuro symptoms.
B12 Pernicious Anemia Megaloblastic anemia + Subacute Combined Degeneration.
C Scurvy Swollen gums, bruising, petechiae, hemarthrosis, and anemia.
D Rickets / Osteomalacia Bone pain, deformities (bowing), hypocalcemia.
Pro-Tip for Boards:

  • Mnemonic for B3: Think of the “3 Ds” of Pellagra.
  • The B12/Folate Test: Only B12 deficiency causes subacute combined degeneration of the spinal cord (dorsal column/lateral corticospinal tract deficits).
  • Resource: For more clinical vignettes and high-yield questions on these deficiencies, visit mymedschool.org.