- 期刊
胡蘿蔔素血症─病例報告
A Case Report of Carotenemia
摘要
胡蘿蔔素血症是臨床上常見的疾病，最主要是由於食用過多的胡蘿蔔素而引起。 本院最近經歷一名14歲的年輕女孩，被發現皮膚愈來愈黃而帶到高雄醫學院附設醫院做進一步的檢查。住院理學檢查，除了皮膚，尤其是手掌及腳掌之顏色較黃外；其他一切正常，結膜無貧血，鞏膜無黃疸。實驗室檢查顯示肝功能正常，但血中胡蘿蔔素值為460μg／d1（血中胡蘿蔔素的正常值：50─250μg／d1），而同年齡對照兒童是80μg／d1。回溯病人的病史，發現她長期嗜食大量的橘子，住院後經由營養指導改吃均衡飲食而出院；8星期後，血中胡蘿蔔素值降至270μg／d1（同年齡對照組：30μg／d1），而皮膚的顏色也顯著的改善。
關鍵字
無資料並列摘要
Carotenemia is a common disease in children, and it is mainly due to excessive intake of food enriched with carotene. A fourteen-year-old girl, whose skin had been discolored yellow for several months, was brought to Kaohsiung Medical College Hospital for examination. Physical examination revealed she had a marked yellow colorskin, especially on the palms and soles; conjunctive was not anemic; sclera was not icteric; breath and heart sounds were normal; liver and spleen were not enlarged. Laboratory examination revealed normal results for the liver function test, however, serum carotene was elevated to 460μg/d1 in contrast to 80μg/d1 from a same-aged healthy child as a control (normal range of the serum carotene: 50─250μg/d1). Tracing back her past history, she had taken a lot of oranges daily for more than one year. After consulting a nutritionist and changing her eating habits to a balanced diet for eight weeks, the serum carotene level decreased to 270μg/d1 (same-aged healthy child: 30μg/d1). The skin color was also improved.