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Zinc Deficiency Leading to Intractable Vomiting

Wilson Nadruz Jr, MD; Vera Regina Bellinazzi, MD; José Barreto Campello Carvalheira, MD
Arch Intern Med. 2002;162(20):2376-2377. doi:10.1001/archinte.162.20.2376.
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Zinc deficiency is an unusual complication of total parenteral nutrition (TPN).1 We report a case of a young woman with zinc deficiency caused by prolonged parenteral nutrition whose chief initial presentation was intractable vomiting.

Mozzillo  NAyala  FFederici  G Zinc deficiency syndrome in patient on long-term total parenteral nutrition. Lancet. 1982;1744
Russel  RM Vitamins and trace mineral deficiency and excess. Braunwald  EFauci  ASKasper  DLHarrison's Principles of Internal Medicine. 15th ed.Vol 1. New York, NY McGraw-Hill Co2001;461- 469
Howard  L Enteral and parenteral nutrition therapy. Fauci  ASMartin  JBBraunwald  EHarrison's Principles of Internal Medicine. 14th ed.Vol. 1. New York, NY McGraw-Hill Co1998;472- 480
Falchuk  KH Disturbs in trace elements. Fauci  ASMartin  JBBraunwald  EHarrison's Principles of Internal Medicine. 14th ed.Vol 1. New York, NY McGraw-Hill Co1998;489- 492
Yamaguchi  HArita  YHara  YKimura  TNawata  H Anorexia nervosa responding to zinc supplementation: a case report. Gastroenterol Jpn. 1992;2554- 558
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