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Journal of Tropical Pediatrics 1985 31(1):36-39; doi:10.1093/tropej/31.1.36
© 1985 by Oxford University Press
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Nightblindness and Vitamin A Deficiency in Children Attending a Diarrheal Disease Hospital in Bangladesh

Barbara J. Stoll, MD, Hasina Banu, MA, Iqbal Kabir, MBBS and Ayesha Molla, PhD

International Centre for Diarrhoeal Disease Research Bangladesh

The prevalence of nightblindness, an early in dicator of vitamin A deficiency, was assessed in children attending a diarrheal disease hospital in Bangladesh. Five per cent of 2971 children between 1 and 10 years complained of nightblindness and 47 per cent of these children as against 6 per cent of children without nightblindness also had ocular signs of vitamin A deficiency (p.<0.01). Children with nightblindness compared to those without were significantly more likely to be undernourished, and to have a prolonged illness with dysentery and infections with Shigella and Entamoeba histolytica. Serum levels of vitamin A were below 10 µg/dl in 17 nightblind patients and were significantly lower in these patients than in 13 age-matched controls without nightblindness (p<0.001). In areas where vitamin A deficiency is common, vitamin A supplements and locally relevant nutrition education should be offered to children at high risk for vitamin A deficiency, especially if they have a history of nightblindness.


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