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Clinical signs of micronutrient deficiencies Slide 2 Clinical signs of Vitamin A deficiency Slide 3 Signs of vitamin A deficiency - Bitots spots Slide 4 WHO Classification of Xerophthalmia 2B 1N Night blindness 2B Bitots spots X3 Corneal xerosis X4 Corneal ulcerations - Keratomalacia X5 Corneal scars - permanent blindness X3 X5X4 Slide 5 Xeropthalmia Bitots spots (X1B) are foamy white areas on the white of the eye. Be careful not to confuse them with other types of eye problems. These signs will most often be seen in children. Corneal Xerosis(X2)Keratomalacia (X3) Slide 6 Clinical signs of Iron deficiency Slide 7 Iron Deficiency Anaemia pale inner eye lids Pale hands and tongue Slide 8 Clinical signs of iodine deficiency Slide 9 Signs of iodine deficiency - goiter Slide 10 Signs of iodine deficiency - examination for goiter Slide 11 Goiter and cretinism Slide 12 Clinical signs of Riboflavin deficiency - B2 (angular stomatitis) Slide 13 Signs of B2 (riboflavin) deficiency - angular stomatitis Slide 14 Angular stomatitis Slide 15 Slide 16 Clinical signs of Vitamin C deficiency (scurvy) Slide 17 perifollicular hemorrhages bleeding gums bleeding gums in infant Signs of scurvy (vitamin C deficiency) Slide 18 bruises or eccymosis on legs Swollen, bleeding gums Slide 19 Clinical signs of Vitamin D deficiency Slide 20 Olympic forehead row of rickets occipital alopecia bowed legs Signs of rickets (vitamin D deficiency) spinal deformity Slide 21 olympic forehead row of rickets occipital alopecia Vitamin D deficiency Slide 22 Clinical signs of Vitamin B3 (Niacin) - Pellagra Slide 23 Pellagra dermatitis Slide 24