Journal Basic Info
- Impact Factor: 0.285**
- H-Index: 6
- ISSN: 2638-4558
- DOI: 10.25107/2638-4558
Major Scope
- Trauma
- Pain Management
- Physiology
- Cardio-Thoracic Surgery
- Neurology
- Surgery
- Physical Medicine & Rehabilitation
- Orthopedics & Rheumatology
Abstract
Citation: Clin Case Rep Int. 2017;1(1):1005.DOI: 10.25107/2638-4558.1005
Selenium Deficiency during Long-Term Management of Crohn’s Disease with Full Elemental Diet: A Case Report
Satoshi Tanida, Taketo Suzuki, Tsutomu Mizoshita, Keiji Ozeki, Takahito Katano, Yasuyuki Okamoto, Takaya Shimura, Eiji Kubota, Hiromi Kataoka and Takashi Joh
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan
*Correspondance to: Satoshi Tanida
PDF Full Text Case Report | Open Access
Abstract:
Elemental diet (ED) is an efficacious treatment for patients with Crohn’s disease (CD). A full ED, Elental® (Ajinomoto Pharmaceutical, Tokyo, Japan), is often used for induction and maintenance therapy in CD patients, particularly in those with abdominal pain due to active CD with expansive ulcers and multiple strictures. Selenium deficiency is rare, but occurred in patients under longterm management with full ED, because elental does not include selenium. A 35-year-old man had received long-term full ED treatment since the diagnosis of CD. Symptoms of curly, ulotrichous hair, recurved nails, dysarthria, visual disturbances and sensory disturbances of the limbs were exaggerated. Serum concentration of selenium was below the detection limit of 2.0 μg/dL. He was diagnosed with systemic disorder caused by selenium deficiency. With continuous administration of sodium selenite, hair and nail changes and dysarthria resolved, but visual and limb sensory disturbances remained unchanged. The present case suggests that selenium supplementation should be started when distinctive symptoms associated with selenium deficiency appear in a patient receiving long-term ED.
Keywords:
Selenium deficiency; Full elemental diet; Crohn’s disease
Cite the Article:
Tanida S, Suzuki T, Mizoshita T, Ozeki K, Katano T, Okamoto Y, et al. Selenium Deficiency during Long-Term Management of Crohn’s Disease with Full Elemental Diet: A Case Report. Clin Case Rep Int. 2017; 1: 1005.