hypercaroteneemia
Introduction
Introduction to high caroteneemia Hypercarotenaemia, also known as citrus dermatosis, is a yellow-yellow skin caused by high levels of carotene in the blood. Yellowing of the skin and sclera not yellowing are the most important features. Correct the underlying disease without special treatment. Patients have a long history of taking a large amount of carotene-rich food history (oranges, carrots, etc.), yellowing of the skin and sclera not yellowing is the most important feature. Carotene is a kind of lipoprotein. The content of carotene in blood and sweat of patients with this disease is increased, which can make normal skin appear yellow, and the content of carotene in blood and urine is diagnostic. basic knowledge The proportion of illness: 0.004% Susceptible people: no specific population Mode of infection: non-infectious Complications: depression
Cause
Causes of high caroteneemia
Excessive consumption of carotene (30%):
The disease is caused by excessive consumption of foods rich in carotene such as carrots, oranges, tomatoes, pumpkins, daylilies and spinach, causing yellowing of the skin, hyperlipidemia, hypothyroidism, diabetes or other carotenoids. In the case of conversion to vitamin A with congenital defects or liver disease, the blood carotene content can also be increased.
Pathogenesis
Carotene is a kind of lipoprotein. The content of carotene in blood and sweat of patients with this disease is increased, which can make normal skin appear yellow, and the content of carotene in blood and urine is diagnostic.
Prevention
High caroteneemia prevention
First, high caroteneemia diet:
1, diet should strive to balance, at least 50-60% of carbohydrates, including vegetables, brown rice, avocado, konjac, seeds, stone fruit, cereals, lean meat, fish, yogurt, raw cheese.
2, should eat home-cooked meals, and food should be diversified, rice, pasta, fat, lean meat, eggs, milk, fish, shrimp, etc. should be eaten.
Second, high caroteneemia diet contraindications:
1. It is forbidden to eat foods containing carotene, such as carrots, oranges, tomatoes, pumpkins, daylilies and spinach.
2, avoid eating alcohol and irritating food.
Complication
Hypercortisemia complications Complications depression
Depression.
Symptom
Symptoms of high caroteneemia Common symptoms No itching, no hepatobiliary... Scleral yellow pigmented caroteneemia jaundice
Patients have a long history of taking a large amount of carotene-rich food history (oranges, carrots, etc.), yellowing of the skin and sclera not yellowing is the most important feature, more common in the stratum corneum thick palmar and sebaceous gland rich parts, such as Face, nose, nasolabial fold, perioral, eyelid, severe skin except the sclera and mucosa are orange-yellow, no symptoms, such as no underlying disease, generally good, the course of the disease is chronic, after the removal, the number The month can disappear.
Examine
Examination of high caroteneemia
The disease is caused by excessive consumption of foods rich in carotene such as carrots, oranges, tomatoes, pumpkins, daylilies and spinach. According to the foods with clear consumption of high carotene and laboratory tests: the determination of carotene in blood and urine has diagnostic significance, which can be clearly expressed in the blood and urine carotene content, and can also be combined with other skins. Identification of jaundice-type diseases.
Diagnosis
Diagnosis and differentiation of high caroteneemia
The amount of carotene in the patient's plasma exceeds normal, and excess carotene is excreted in the urine. Take aliquots of serum, ethanol, petroleum ether, after mixing and shaking, see the lipoprotein dissolved in petroleum ether, this method can help diagnose.
The diagnosis of this disease is mainly based on medical history, symptoms and laboratory tests. Should be differentiated from the jaundice of hepatobiliary diseases, the latter sclera yellow staining, blood bilirubin increased; taking A pingping caused skin yellowing has a history of medication.
According to the patient's history of eating a carrot-rich vegetarian diet, the skin is yellow-stained and the sclera is normal and can be diagnosed.
