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Journal of Parenteral and Enteral Nutrition
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Case Reports

Low Plasma Cortisol and Hematologic Abnormalities Associated With Essential Fatty Acid Deficiency in Man

Bruce R. Bistrian, M.D., PH.D.

Nutrition/Metabolism Laboratory and Departments of Medicine and Surgery, New England Deaconess Hospital, Boston, Massachusetts

Albert Bothe, JR., M.D.

Nutrition/Metabolism Laboratory and Departments of Medicine and Surgery, New England Deaconess Hospital, Boston, Massachusetts

George L. Blackburn, M.D., PH.D.

Nutrition/Metabolism Laboratory and Departments of Medicine and Surgery, New England Deaconess Hospital, Boston, Massachusetts

Albert I. Defriez, M.D.

Nutrition/Metabolism Laboratory and Departments of Medicine and Surgery, New England Deaconess Hospital, Boston, Massachusetts

A case of probable adrenal insufficiency (glucocorticoid only) with hematologic changes including eosinophilia, neutropenia, and red blood cell abnormalities developed in the course of prolonged, fat-free feeding. The coincident development of essential fatty acid deficiency was confirmed by serum fatty acid profiles indicating the presence of abnormal amounts of eicosatrienoic acid, and a triene/tetraene ratio >0.4; all these findings responded to fat repletion. The association of glucocorticoid deficiency, neutropenia, and eosinophilia with essential fatty acid deficiency has not been previously reported in humans.

Journal of Parenteral and Enteral Nutrition, Vol. 5, No. 2, 141-144 (1981)
DOI: 10.1177/0148607181005002141
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