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BMC Pediatrics
Published in: BMC Pediatrics 1/2013

Open Access 01-12-2013 | Case report

Selenium: a brief review and a case report of selenium responsive cardiomyopathy

Authors: Abdulrahman Al-Matary, Mushtaq Hussain, Jaffar Ali

Published in: BMC Pediatrics | Issue 1/2013

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Abstract

Background

The authors review the role of selenium and highlight possible low selenium levels in soil that may result in deficient states in Saudi Arabia.

Case presentation

The authors report a case of selenium-responsive cardiomyopathy in a 15-month old Saudi Arabian boy. This case of selenium deficiency causing dilated cardiomyopathy is presented with failure to thrive, prolonged fever and respiratory distress. The investigations revealed selenium deficiency. Selenium supplementation along with anti-failure therapy [Furosimide, Captopril] was administered for 6 months. Following therapy the cardiac function, hair, skin and the general health of the patient improved significantly.

Conclusion

The patient with dilated cardiomyopathy of unknown etiology, not responding to usual medication may be deficient in selenium. Serum selenium measurements should be included in the diagnostic work-up to ensure early detection and treatment of the disease. The selenium level in the Saudi population needs be determined. Vulnerable populations have to undergo regular selenium measurements and supplementation if indicated. Dependence on processed foods suggests that the Saudi population fortify themselves with nutrient and micronutrient supplements in accordance to the RDA.
Appendix
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Metadata
Title
Selenium: a brief review and a case report of selenium responsive cardiomyopathy
Authors
Abdulrahman Al-Matary
Mushtaq Hussain
Jaffar Ali
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2013
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-13-39

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