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Letter to the Editor
Bitot's spots and vitamin A deficiency in a child from the UK
  1. ANDREW S RAMSAY,
  2. NELSON A SABROSA,
  3. CARLOS E PAVESIO
  1. Moorfields Eye Hospital, City Road
  2. London, EC1V 2PD, UK
  1. Mr Carlos Pavesio Carlos.Pavesio{at}moorfields.nthames.nhs.uk

https://doi.org/10.1136/bjo.85.3.371a

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    Editor,—Prolonged nutritional deficiency of vitamin A results in xerophthalmia. Bitot's spots are an early manifestation of this condition.1 While xerophthalmia is responsible for 70% of childhood blindness in developing countries it is rare in the Western world.2 We report a case of a British, vegetarian girl who developed Bitot's spots.

    CASE REPORT

    A 7 year old, indigenous, British, white girl presented with triangular white, foamy lesions in the temporal paralimbal areas of both eyes (Fig1). She had no visual complaints and denied night blindness or any systemic problem. She had been …

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