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Images in paediatrics
Conjunctival xerosis caused by vitamin A deficiency
  1. Justin C Sherwin1,
  2. Chameen Samarawickrama2,3
  1. 1 Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK
  2. 2 Sydney Medical School, University of Sydney, New South Wales, Australia
  3. 3 Westmead Hospital, Westmead, New South Wales, Australia
  1. Correspondence to Dr Justin C Sherwin, Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK , +441865572467; justincsherwin{at}

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An 11-year-old boy presented with a several week history of bilateral blurred vision, eye pain, photophobia and nyctalopia. His medical history included severe autism. He met the Diagnostic and Statistical Manual of Mental Disorders-V criteria for avoidant-restrictive food intake disorder, consuming virtually only potato-containing foods. There was no history of gastrointestinal (GI) disease or weight loss.

Clinical examination revealed reduced visual acuity: both eyes 6/18 (6/12 …

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  • Handling editor Martin Ward Platt

  • Contributors JCS and CS both were involved with patient care, management, writing of the article and approval of the submitted version.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.