Appendix B
PHYSICAL SIGNS SUGGESTIVE OF NUTRIENT DEFICIENCIES

 
Location Signs/Symptoms Deficient Nutrient
hair lack luster, thin, sparse, easily plucked, dyspigmentation, alternating bands light & dark energy, protein
face nasolabial seborrhea, diffuse dyspigmentation paleness riboflavin iron
eyes pale conjunctiva poor dark adaptation, Bitot's spots, corneal or conjunctival xerosis
papilledema
angular blepharitis
intraocular hemorrhage
iron
retinol

riboflavin, niacin
ascorbic acid
lips bilateral angular stomatitis
cheilosis
riboflavin
riboflavin, niacin
tongue scarlet, raw tongue
magenta tongue
glossitis (beefy red tongue)
atrophic filiform papilla (slick tongue)
niacin
riboflavin
folic acid, cobalamin, iron, niacin, riboflavin
folic acid, cobalamin, iron, niacin, riboflavin
teeth caries fluoride
gums pale spongy, bleeding, receding, swelling iron ascorbic acid
endocrine system thyroid enlargement parotid enlargement iodine protein
skin purpura
hyperpigmentation
desquamatory dematitis
follicular hyperkeratosis, xerosis, mosaic dermatosis
petechial hemorrages
thickening/pigmentation at pressure points and sun exposed areas
scrotal/vuval dermatosis
vitamin K
energy, folic acid, cobalamin, niacin
biotin, essential fatty acids, zinc, pyridoxine
reinol, essential fatty acids
ascorbic acid
niacin
riboflavin
nails koilonychia (spoon nail), paleness iron
subcutaneous tissue fat decreased
edema
energy
protein, thiamin
musculoskeletal system wasting craniotabes, frontal bossing, knock-kness, beading of ribs, bow legs, musculoskeletal hemorrhage energy, protein vitamin D
ascorbic acid
cardiovascular system cariomegaly, tachycardia, CHF, wet beriberi thiamin
nervous system mental confusion, encephalopathy, calf tenderness, sensory loss, motor weakness, dry beriberi, biolateral absent ankle/knee jerks thiamin, cobalamin
gastrointestinal system hepatomegaly protein


Table of Contents | Appendix C