Egg white injury
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A 66-year-old man was admitted to our Department for a sudden loss of consciousness, tonic–clonic movement and psychomotor agitation. During the previous 4 months the patient had complained of drowsiness, fatigue, lack of appetite, and nausea. During the prior 2 months he had experienced hair loss, coating of the tongue, and skin flaking with pruritus.
Two hours prior to admission, the patient had experienced loss of spacio-temporal orientation, dizziness, cold sweats, postural instability, and sudden loss of muscle tone in the lower limbs causing a collapse on the ground.
On physical examination the skin was dry, greyish, markedly flaky; and the tongue was pale. There was a circumoral dermatitis, as well as a skin rash described as scaly (seborrhoic) and red (eczematous) distributed around the eyes, nose and mouth, along with alopecia and thinning hair. The vital signs were: rate 75 beats/min, blood pressure 145/90 mmHg, and normal respirations.
The social history revealed that during...
KeywordsBiotin Optic Atrophy Biotin Deficiency Extensive Laboratory Testing Biotin Supplementation
Conflict of interest statement
The authors declare that they have no conflict of interest related to the publication of this manuscript.
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