Las vitaminas liposolubles se absorben y almacenan enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el tejido adiposo (grasa) y enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el hígado. Estas vitaminas pueden liberarse del almacenamiento y usarse cuando sea necesario. Las 4 vitaminas liposolubles importantes son A, D, E y K. Cada vitamina tiene su propia función y las deficiencias pueden provocar manifestaciones clínicas significativas. El diagnóstico de las deficiencias se realiza mediante la presentación clínica y las pruebas de laboratorio, y el tratamiento de la deficiencia vitamínica se realiza con suplementos. Debido a que estas vitaminas son solubles enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum grasa y se almacenan enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el cuerpo, el uso excesivo de suplementos vitamínicos puede provocar toxicidad y efectos adversos, especialmente con las vitaminas A y D.
Las vitaminas son sustancias orgánicas importantes que se requieren para las funciones metabólicas normales. Estas sustancias no pueden ser sintetizadas por el cuerpo; deben ser ingeridos enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la dieta. Se dividen enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum vitaminas hidrosolubles y liposolubles.
Las vitaminas liposolubles de mayor importancia clínica son las vitaminas A, D, E y K.
Las deficiencias y el uso excesivo de estas vitaminas pueden dar lugar a manifestaciones clínicas.
Las recomendaciones de ingesta se enumeran como U.S. Recommended Dietary Allowance (cantidad diaria recomendada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria Estados Unidos, enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum inglés), que es el nivel diario promedio de ingesta suficiente para satisfacer losLOSNeisseria requisitos de nutrientes de casi todas las personas sanas (97%–98%).
Puede haber circunstancias especiales enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum lactantes o ancianos o pacientes embarazadas.
Absorción y almacenamiento
Las vitaminas liposolubles se absorben de losLOSNeisseria intestinos junto a la grasa. EnENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum general, este proceso requiere:
Lipasas linguales y gástricas
Sales biliares para solubilización y producción de micelas.
Lipasas pancreáticas
Absorción por la mucosa intestinal
Empaquetamiento enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum quilomicrones dentro de las células de la mucosa intestinal
Las vitaminas liposolubles se almacenan enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el tejido adiposo.
Grupos con mayor riesgo de deficiencia
Para todas las vitaminas liposolubles, losLOSNeisseria pacientes con problemas de malabsorción de grasas tienen un mayor riesgo de deficiencia. Estas condiciones incluyen:
Insuficiencia pancreática (resulta enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum lipasa insuficiente) por fibrosisFibrosisAny pathological condition where fibrous connective tissue invades any organ, usually as a consequence of inflammation or other injury.Bronchiolitis Obliterans quística, pancreatitisPancreatitisInflammation of the pancreas. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of chronic pancreatitis. The two most common forms of acute pancreatitis are alcoholic pancreatitis and gallstone pancreatitis.Acute Pancreatitis crónica o pancreatectomía
Enfermedad hepática colestásica (resulta enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum bilis insuficiente)
Enfermedad celíaca
Enfermedad de Crohn
Síndrome del intestino corto
Pacientes con antecedentes de algunos tipos de cirugía bariátrica
Vitamina A: Retinoides
Formas
Conocidas como retinoides, la vitamina A se presenta enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum varias formas activas y enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum varias formas precursoras:
Retinol y ésteres de retinilo: forma de almacenamiento
Retinal: parte del complejo de rodopsina enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum las células de bastón (responsables de la detección de luz y movimiento)
Ácido retinoico: importante para la diferenciación celular
Betacaroteno: un precursor de la vitamina A
Funciones
Visión:
Rodopsina y retinaljuegan un papel importante enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la visión nocturna.
El todo-trans-retinol es el precursor → convertido enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum 11-cis-retinal por enzimas.
Se convierte enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum todo-trans-retinal cuando se absorbe un fotón.
Este cambio conformacional activa la transducina, lo que finalmente resulta enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el cierre de losLOSNeisseria canales de calcio → disminuye la liberación de neurotransmisores
↓ Neurotransmisores: señal alALAmyloidosis cerebro de que se haHAHemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis).Hemolytic Anemia detectado luz
Para recordar que la vitamina A es importante para la visión, piense enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum “retinaRetinaThe ten-layered nervous tissue membrane of the eye. It is continuous with the optic nerve and receives images of external objects and transmits visual impulses to the brain. Its outer surface is in contact with the choroid and the inner surface with the vitreous body. The outermost layer is pigmented, whereas the inner nine layers are transparent.Eye: Anatomy” enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el ojo.
Diferenciación celular:
El ácido retinoico afecta la expresión génica y la diferenciación celular.
La vitamina A también interviene enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum:
Epitelización de la piel
Crecimiento
Función inmune
Reproducción
La vitamina A es un antioxidante.
Pasos en la detección de luz en los conos o bastones mediados por la forma retinal de vitamina A, que se encuentra en la rodopsina cGMP: monofosfato de guanosina cíclico PIB: difosfato de guanosina GMP: monofosfato de guanosina GTP: trifosfato de guanosina
Imagen por Kevin Ahern, PhD.
Absorción, metabolismo, transporte y almacenamiento.
Las diferentes formas de vitamina A se absorben enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el intestino delgado a partir de la dieta.
Estas diferentes formas se hidrolizan enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum retinol enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el borde enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum cepillo de la mucosa intestinal.
LosLOSNeisseria retinoles se vuelven a esterificar, se incorporan a losLOSNeisseria quilomicrones y luego se excretan enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria vasos linfáticos, donde se trasladan alALAmyloidosis hígado.
La mayor parte del retinol corporal totalse almacena enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el hígado.
Requerimientos diarios
Las cantidades diarias recomendadas típicas para la vitamina A son:
Niños ≤8 años (varía según la edad exacta): 300–500 µg
Niños de 9–13 años: 600 µg
Mujeres ≥14 años: 700 µg (más alto si está embarazada o lactando)
Varones ≥14 años: 900 µg
Fuentes dietéticas
Principalmente de alimentos amarillos y naranjas:
Fuentes más altas: hígado y aceite de pescado.
Otras fuentes animales:
Lácteos
Yemas de huevo
Vegetales color naranja:
Zanahorias
Patatas dulces
Calabaza
Otros alimentos rojos/amarillos:
Melón
Mangos
Tomates
Pimientos rojos
Vegetales de hoja verde:
Espinacas
Brócoli
Síntomas de deficiencia
LosLOSNeisseria principales síntomas clínicos de preocupación están relacionados con la visión:
Síntomas visuales:
Mala visión nocturna (nictalopía)
Ojo seco (xeroftalmía)
Ceguera
Hiperqueratosis (piel escamosa) y destrucción de losLOSNeisseria folículos pilosos
Crecimiento óseo deficiente debido a la disminución de la formación de hueso endocondral y la actividad osteoblástica
Deterioro de la función del sistema inmunitario debido alALAmyloidosis efecto directo sobre las células T
Grupos con mayor riesgo de deficiencia
La deficiencia de vitamina A es poco común enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria países desarrollados, pero se puede encontrar enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria siguientes grupos:
Recién nacidos prematuros
Niños y mujeres embarazadas y lactantes enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum países enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum desarrollo
Pacientes con malabsorción de grasas.
Usos terapéuticos
Las formas de vitamina A se usan enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum tratamientos para las siguientes condiciones:
Leucemia mieloide aguda
Acné: se encuentra enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum medicamentos tópicos y orales.
Sarampión (para niños enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum países enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum desarrollo; parece reducir la mortalidad)
Toxicidad
Por lo general, ocurre solo con la ingestión crónica de grandes cantidades de fuentes sintéticas o animales de vitamina A (aproximadamente 10 veces la dosis diaria recomendada). La absorción de betacaroteno (fuentes vegetales) está altamente regulada y es muy poco probable que cause toxicidad. LosLOSNeisseria síntomas de toxicidad incluyen:
Náuseas
Cefalea
Vértigo
Visión borrosa
Teratogenicidad si se usa enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum pacientes embarazadas (e.g., isotretinoína utilizada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el tratamiento del acné)
Técnicamente, la vitamina D es una hormona porque se produce enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el cuerpo, mientras que las vitaminas reales no se producen enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el cuerpo. La vitamina D3 se produce enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la piel de todos losLOSNeisseria vertebrados cuando se exponen alALAmyloidosis sol, mientras que la D2 la producen algunos hongos (e.g., setas) y se puede consumir enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum forma de alimento o suplemento.
Funciones
Las funciones más importantes de la vitamina D están relacionados con el calcio y el fosfato:
Promueve la absorción de calcio y fosfato enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria intestinos.
Estimula losLOSNeisseria osteoblastos enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el hueso y mejora la mineralización ósea.
Está involucrada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum:
Función inmune e inflamación.
Metabolismo de la glucosa y el colesterol
Crecimiento celular, proliferación, diferenciación y apoptosisApoptosisA regulated cell death mechanism characterized by distinctive morphologic changes in the nucleus and cytoplasm, including the endonucleolytic cleavage of genomic DNA, at regularly spaced, internucleosomal sites, I.e., DNA fragmentation. It is genetically-programmed and serves as a balance to mitosis in regulating the size of animal tissues and in mediating pathologic processes associated with tumor growth.Ischemic Cell Damage
Absorción, síntesis, transporte y almacenamiento.
La exposición alALAmyloidosis sol es muy importante para la conversión a una forma activa.
EnENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la piel, la exposición a la luz ultravioleta provoca un reordenamiento dependiente de la temperatura del 7-dehidrocolesterol, convirtiéndolo enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum vitamina D3 (colecalciferol).
La vitamina D3 se hidroxila enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el hígado a 25-hidroxivitamina D3 (25(OH)D3):
También conocido como calcidiolcalcidiolThe major circulating metabolite of vitamin d3. It is produced in the liver and is the best indicator of the body’s vitamin D stores. It is effective in the treatment of rickets and osteomalacia, both in azotemic and non-azotemic patients. Calcifediol also has mineralizing properties.Calcium Hemostasis and Bone Metabolism, calcifediol y 25-hidroxicolecalciferol
25(OH)D3 es la principal forma circulante de vitamina D enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el cuerpo y es lo que se mide enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum pruebas de laboratorio.
Vida media: 2–3 semanas
La 25(OH)D3 sufre una segunda hidroxilación enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el riñón y forma la 1,25-dihidroxivitamina D3 (1,25(OH)D3) fisiológicamente activa:
También conocido como calcitriolCalcitriolThe physiologically active form of vitamin d. It is formed primarily in the kidney by enzymatic hydroxylation of 25-hydroxycholecalciferol (calcifediol). Its production is stimulated by low blood calcium levels and parathyroid hormone. Calcitriol increases intestinal absorption of calcium and phosphorus, and in concert with parathyroid hormone increases bone resorption.Parathyroid Glands: Anatomy.
Forma más activa
Vida media: 4–6 horas
La vitamina D2 (ergocalciferol) es sintetizada por hongos, sufre dos hidroxilaciones y tiene una actividad biológica similar a la 1,25(OH)D3.
Ambas vitaminas D2 y D3 se pueden absorber enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria intestinos:
Absorbidas a través de difusión pasiva simple y proteínas transportadoras de membrana
La grasa mejora la absorción
La vitamina D se incorpora a las micelas, es absorbida por losLOSNeisseria enterocitos y se empaqueta enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum quilomicrones.
Las pautas varían enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum todo el mundo y para algunas sociedades profesionales. Las cantidades diarias sugeridas enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria Estados Unidos son:
Lactantes: 400 UI (10 µg)
Personas de 1–70 años de edad, incluidas mujeres embarazadas o lactantes: 600 UI (15 µg)
Personas ≥71: 800 UI (20 µg)
Fuentes de vitamina D
La principal fuente de vitamina D es la exposición a la luz solar:
5–30 minutos de exposición alALAmyloidosis sol del mediodía enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la cara, losLOSNeisseria brazos, las manos y las piernas
LosLOSNeisseria protectores solares bloquean losLOSNeisseria rayos UV que producen vitamina D, pero muchas personas no se aplican cantidades suficientes para bloquear toda la síntesis de vitamina D.
La vitamina D no se encuentra enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la leche materna.
Pocos alimentos contienen vitamina D; algunos que incluyen:
Pescado graso (trucha, salmón, atún y caballa) y aceites de hígado de pescado
Hongos (vitamina D2)
LosLOSNeisseria productos lácteos fortificados proporcionan la mayor parte de la vitamina D enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la dieta estadounidense:
Alternativas de leche y bebida vegetal (e.g., bebida de soja, almendras o avena)
Zumo de naranja
Cereal
Fórmula infantil
Grupos enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum riesgo de deficiencia de vitamina D
Dietas bajas enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum vitamina D; estos son más comunes enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum personas que:
Tiene alergia a la leche o intolerancia a la lactosa.
Consumen dietas restrictivas (e.g., veganas)
Lactantes amamantados
Adultos mayores: la piel no sintetiza eficientemente la vitamina D3.
Personas con exposición solar limitada.
Personas de piel oscura: la melanina enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la capa epidérmica de la piel reduce la capacidad de producir vitamina D a partir de la luz solar.
Condiciones que causan malabsorción de grasas
Obesidad (IMC ≥30): la vitamina D se encuentra secuestrada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria tejidos subcutáneos, lo que ↓ losLOSNeisseria niveles circulantes.
Insuficiencia renal crónica: alteración de la hidroxilación enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria riñones
Síntomas de deficiencia
La deficiencia moderada e incluso grave de vitamina D es muy frecuente enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum todo el mundo y es necesaria una ingesta suficiente para la salud ósea y general. Con deficiencia severa, puede presentarse lo siguiente:
Hipofosfatemia, hipocalcemia e hiperparatiroidismo secundario → desmineralización ósea
RaquitismoenENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum niños; se presenta con:
Huesos débiles o blandos
Retraso enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el crecimiento
OsteomalaciaOsteomalaciaDisorder caused by an interruption of the mineralization of organic bone matrix leading to bone softening, bone pain, and weakness. It is the adult form of rickets resulting from disruption of vitamin d; phosphorus; or calcium homeostasis.Osteomalacia and RicketsenENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum adultos:
Presentación similar a la del raquitismo enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum niños
Mayor riesgo de fractura ósea
Osteomalacia
Imagen: “Severe Osteomalacia” por Gamache L, Burge MR. Licencia: CC BY 3.0
Raquitismo
Imagen: “Severe rickets in a young girl caused by celiac disease: the tragedy of delayed diagnosis: a case report” por .Al-Sharafi BA, Al-Imad SA, Shamshair AM, Al-Faqeeh DH Licencia: CC BY 4.0
Toxicidad
Hipervitaminosis D: provoca una mayor absorción de calcio enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum el tracto gastrointestinal, lo que puede causar hipercalcemia, que puede conducir a:
Náuseas y vómitos
Debilidad muscular
Trastornos neuropsiquiátricos
AnorexiaAnorexiaThe lack or loss of appetite accompanied by an aversion to food and the inability to eat. It is the defining characteristic of the disorder anorexia nervosa.Anorexia Nervosa
Deshidratación, polidipsia, poliuria y cálculos renales
EnENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum casos extremos, la toxicidad de la vitamina D provoca:
Insuficiencia renal
Calcificación de tejidos blandos enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum todo el cuerpo (incluidos losLOSNeisseria vasos coronarios y las válvulas cardíacas)
La vitamina E es un grupo de compuestos que incluye tocoferoles y tocotrienoles. La vitamina E es un importante antioxidante que se sintetiza únicamente enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum las plantas.
Formas
Hay 8 formas químicas de tocoferol:
α-, β-, ɣ- y Δ-tocoferol
α-, β-, ɣ- y Δ-tocotrienol
Solo el α-tocoferol tiene actividad significativa enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum humanos.
Funciones
La vitamina E es el equivalente liposoluble de la vitamina C (que es hidrosoluble), ya que actúa como antioxidante. La vitamina E es un eliminador de radicales libres y puede donar electrones y está involucrada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum:
Proteger losLOSNeisseria lípidos de la membrana de la peroxidación.
Inhibición indirecta del metabolismo del ácido araquidónico → inhibición de la agregación plaquetaria
Inhibir la proteína quinasa C, que está implicada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la proliferación y diferenciación celular
Absorción y transporte
Ingerida enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la dieta, digerida por enzimas, absorbida por las células de la mucosa intestinal y empaquetada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum quilomicrones
LosLOSNeisseria quilomicrones transportan la forma de α-tocoferol de la vitamina E alALAmyloidosis hígado a través del sistema linfático.
EnENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria hepatocitos, el α-tocoferol se empaqueta enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum VLDL y se secreta alALAmyloidosis torrente sanguíneo.
Requerimiento diario
Las cantidades diarias requeridas para la vitamina E son:
Personas ≥14, incluidas mujeres embarazadas: 15 mg alALAmyloidosis día
Mujeres lactantes: 19 mg
Fuentes dietéticas
Germen de trigo
Nueces y semillas (especialmente almendras, maní y mantequilla de maní)
Aceites vegetales:
Aceite de oliva
Aceite de girasol
Aceite de cártamo
Cereales fortificados
Deficiencia
Muy rara enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum humanos
Puede verse enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum pacientes con:
Malabsorción de grasas
Trastorno genético raro llamado “ataxiaAtaxiaImpairment of the ability to perform smoothly coordinated voluntary movements. This condition may affect the limbs, trunk, eyes, pharynx, larynx, and other structures. Ataxia may result from impaired sensory or motor function. Sensory ataxia may result from posterior column injury or peripheral nerve diseases. Motor ataxia may be associated with cerebellar diseases; cerebral cortex diseases; thalamic diseases; basal ganglia diseases; injury to the red nucleus; and other conditions.Ataxia-telangiectasia y deficiencia de vitamina E”
Manifestaciones clínicas:
Signos neuromusculares de ataxiaAtaxiaImpairment of the ability to perform smoothly coordinated voluntary movements. This condition may affect the limbs, trunk, eyes, pharynx, larynx, and other structures. Ataxia may result from impaired sensory or motor function. Sensory ataxia may result from posterior column injury or peripheral nerve diseases. Motor ataxia may be associated with cerebellar diseases; cerebral cortex diseases; thalamic diseases; basal ganglia diseases; injury to the red nucleus; and other conditions.Ataxia-telangiectasia y neuropatía periférica
AnemiaAnemiaAnemia is a condition in which individuals have low Hb levels, which can arise from various causes. Anemia is accompanied by a reduced number of RBCs and may manifest with fatigue, shortness of breath, pallor, and weakness. Subtypes are classified by the size of RBCs, chronicity, and etiology. Anemia: Overview and Types hemolítica
Usos terapéuticos y relevancia clínica
La suplementación está indicada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum pacientes con deficiencia de vitamina E.
LosLOSNeisseria suplementos de vitamina E se han estudiado enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum muchas enfermedades y no sonrecomendados actualmente como tratamiento o prevención para cualquier condición que no sea la deficiencia de vitamina E.
Toxicidad
Mayor riesgo de accidente cerebrovascular hemorrágico debido a la capacidad de la vitamina E para inhibir la agregación plaquetaria y antagonizar losLOSNeisseria factores de coagulación dependientes de la vitamina K
Mayor riesgo de cáncer de próstata enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria hombres
Pequeño aumento del riesgo de mortalidad por todas las causas
La vitamina K se consume enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la dieta y es sintetizada por la flora intestinal normal. LosLOSNeisseria recién nacidos no pueden producir vitamina K porque tienen un intestino estéril.
Formas
Vitamina K1: filoquinona, forma dietética primaria
Vitamina K2: menaquinona, principalmente de bacterias, incluidas las bacterias del tracto gastrointestinal humano
Funciones
La vitamina K es una coenzima activa para la glutamato carboxilasa, que carboxila factores importantes que intervienen enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la coagulación:
Factores procoagulantes II, VII, IX y X; después de la carboxilación, estas proteínas ganan afinidad por las plaquetas y promueven la coagulación de la sangre.
Anticoagulantes: proteínas C y S
La vitamina K también actúa como cofactor de múltiples proteínas involucradas enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la mineralización ósea.
Absorción y transporte
Ingerida enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la dieta, digerida por enzimas, absorbida por las células de la mucosa intestinal y empaquetada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum quilomicrones
Reempaquetada enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema NodosumlosLOSNeisseria hepatocitos enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum VLDL para su secreción enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la sangre.
Rápidamente metabolizada y excretada (muy poca vitamina K circula enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la sangre)
Requerimientos diarios
Las cantidades diarias recomendadas para la vitamina K son:
Lactantes: 2–2,5 µg/día
Niños de 1–3 años: 30 µg
Niños de 4–13 años: 55-60 µg
Adolescentes de 14–18 años: 75 µg/día
Mujeres adultas (incluso durante el embarazo y la lactancia): 90 µg/día
Hombres adultos: 120 µg/día
Fuentes dietéticas
Se encuentra principalmente enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum vegetales de hojas verdes:
Col rizada y grelos
Espinacas
Kale
Brócoli
Otras fuentes dietéticas con cantidades más bajas incluyen:
Soja y aceite de soja
Arándanos
Pollo
Deficiencia
La deficiencia de vitamina K es extremadamente rara, pero debido a que bloquea la carboxilación de la proteína esencial para la coagulación de la sangre, una deficiencia grave puede provocar problemas de sangrado.
Síntomas clínicos de sangrado por deficiencia de vitamina K:
Equimosis (moretones fáciles)
MelenaMelenaThe black, tarry, foul-smelling feces that contain degraded blood.Gastrointestinal Bleeding o hematoquecia (hemorragia digestiva)
Las pruebas de laboratorio del tiempo de protrombina y el índice internacional normalizado (INR, por sus siglas enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum inglés) se realizan enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum caso de sospecha de deficiencia.
Estas mismas pruebas se utilizan para controlar el estado de anticoagulación con el medicamento anticoagulante warfarina.
La deficiencia crónica también puede conducir a una mineralización ósea reducida.
Las deficiencias son más comunes enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum pacientes:
Con malabsorción de grasas
EnENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum cursos largos de antibióticos, lo que afecta a las bacterias intestinales.
Usos terapéuticos y relevancia clínica
LosLOSNeisseria recién nacidos deben recibir una inyección intramuscular de vitamina K alALAmyloidosis nacer para prevenir el sangrado (el transporte de vitamina K a través de la placentaPlacentaA highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (chorionic villi) derived from trophoblasts and a maternal portion (decidua) derived from the uterine endometrium. The placenta produces an array of steroid, protein and peptide hormones (placental hormones).Placenta, Umbilical Cord, and Amniotic Cavity es deficiente).
La suplementación con vitamina K es fundamental enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum pacientes con nutrición parenteral total.
La vitamina K enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum la dieta (como comer verduras o enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum un suplemento) interfiere con el medicamento anticoagulante warfarina(CoumadinCoumadinAn anticoagulant that acts by inhibiting the synthesis of vitamin k-dependent coagulation factors. Warfarin is indicated for the prophylaxis and/or treatment of venous thrombosis and its extension, pulmonary embolism, and atrial fibrillation with embolization. It is also used as an adjunct in the prophylaxis of systemic embolism after myocardial infarction. Warfarin is also used as a rodenticide.Anticoagulants), que es un antagonista de la vitamina K.
LosLOSNeisseria pacientes que toman warfarina como anticoagulante deben mantener una ingesta dietética estable y evitar grandes variaciones diarias de verduras.
La vitamina K es el antídoto contra el exceso de anticoagulación.
Se utiliza para revertir el envenenamiento por rodenticidas, que contienen altas dosis de cumarina.
Toxicidad
La U.S. Food and Nutrition Board (Junta de Alimentos y Nutrición de losLOSNeisseria Estados Unidos, enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum inglés) de la National Academy of Medicine (Academia Nacional de Medicina, enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum inglés) no haHAHemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis).Hemolytic Anemia establecido límites máximos seguros para la vitamina K.
La U.S. Food and Nutrition Board afirma: “No se han informado efectos adversos asociados con el consumo de vitamina K de alimentos o suplementos enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum humanos o animales”.
Una forma sintética soluble enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum agua de vitamina K, conocida como menadiona, se usó anteriormente enENErythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins.Erythema Nodosum bebés prematuros y se asoció con anemiaAnemiaAnemia is a condition in which individuals have low Hb levels, which can arise from various causes. Anemia is accompanied by a reduced number of RBCs and may manifest with fatigue, shortness of breath, pallor, and weakness. Subtypes are classified by the size of RBCs, chronicity, and etiology. Anemia: Overview and Types hemolítica e ictericia. Esta formulación ya no está disponible.
Andrès, E., Serraj, K., Mecili, M., Ciobanu, E., & Vogel, T. (2024). Fat-soluble vitamins A, D, E, and K: Review of the literature and points of interest for the clinician. Journal of Clinical Medicine, 13(13), 3641. https://doi.org/10.3390/jcm13133641
Yan, Q., Lin, Y., Wen, C., Huang, R., Liu, J., & Deng, W. (2024). Prediction values of fat-soluble vitamin of growth retardation in children aged 1–6 years. Frontiers in Pediatrics, 12, 1315115. https://doi.org/10.3389/fped.2024.1315115
Youness, R. A., Shoeib, A. R., Megahed, N. A., & Kotb, N. (2022). Fat-soluble vitamins: Updated review of their role and orchestration in human nutrition throughout life cycle with sex differences. Nutrition & Metabolism, 19(1), 60. https://doi.org/10.1186/s12986-022-00696-y
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