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Vitamin K Requirement
  Vitamin K Deficiency
 Signs, symptoms, indicators
 Conditions that suggest it
 Contributing risk factors
 Treatment recommendations
 


Vitamin K deficiency exists when chronic failure to eat sufficient amounts of vitamin K results in a tendency for spontaneous bleeding or in prolonged and excessive bleeding with trauma or injury. Vitamin K deficiency occurs also in newborn infants, as well as in people treated with certain antibiotics. The protein in the body most affected by vitamin K deficiency is a blood-clotting protein called prothrombin. Aside from newborns and young infants, vitamin K deficiency is not a concern for the general population. Vitamin K plays an important role in blood clotting. Without the vitamin, even a small cut would cause continuous bleeding in the body, and eventually death. Blood clotting is a process that begins automatically when any injury produces a tear in a blood vessel. The process of blood clotting involves a collection of molecules, which circulate continuously through the bloodstream. When an injury occurs, these molecules rapidly assemble and form the blood clot. The clotting factors are proteins, and include proteins called Factor II, Factor VII, Factor IX, and Factor X. Factor II is also called prothrombin. These proteins require vitamin K for their synthesis in the body. The blood-clotting process also requires a dozen other proteins that do not need vitamin K for their synthesis.

Blood-clotting problems can also be caused by a rare genetic disease called hemophilia. Hemophilia is not related to vitamin K deficiency.

Incidence; Causes & Development


Although vitamin K deficiency occurs in about 1% of all newborn infants, in adults it is rare.

When it occurs, it is found in people with diseases that prevent the absorption of fat. These diseases include cystic fibrosis, celiac disease, and cholestasis. Vitamin K deficiency can exist in adults treated with antibiotics that kill the bacteria that normally live in the digestive tract - intestinal bacteria supply part of our daily requirement of vitamin K.

Signs & Symptoms
Vitamin K deficiency can result in bleeding gums and in skin that is easily bruised.

Diagnosis & Tests
Vitamin K status is measured by the prothrombin time test. The normal prothrombin time is about 13 seconds whereas in cases of vitamin K deficiency the prothrombin time can be several minutes. The test involves taking a sample of blood, placing it in a machine called a fibrometer, and measuring the time it takes for blood-clot formation. Once vitamin K deficiency is suspected, further tests must be used to distinguish it from possible hemophilia. Where a bleeding disorder can be corrected through vitamin K treatment, the diagnosis of vitamin K deficiency is proven to be correct.





Signs, symptoms & indicators of Vitamin K Requirement:
Symptoms - Skin - Conditions  History of adult acne

Conditions that suggest Vitamin K Requirement:
Circulation  Bruising Susceptibility

Skin-Hair-Nails

  Adult Acne

Risk factors for Vitamin K Requirement:
Symptoms - Gas-Int - General  Having had a small bowel resection

Recommendations and treatments for Vitamin K Requirement:
Vitamins  Vitamin K
 Adults with vitamin K deficiency are treated with daily oral doses of 10mg phylloquinone for one week. The prognosis for correcting vitamin K deficiency and associated blood-clotting problems, is excellent.


KEY
Weak or unproven link
Strong or generally accepted link
Highly recommended


GLOSSARY

Bacteria (Bacterial, Bacterium)
Microscopic germs. Some bacteria are "harmful" and can cause disease, while other "friendly" bacteria protect the body from harmful invading organisms.

Bruise (Bruised, Bruising)
Injury producing a hematoma or diffuse extravasation of blood without breaking the skin.

Celiac Disease (Gluten Sensitivity)
A digestive disease that damages the small intestine and interferes with absorption of nutrients from food. People who have celiac disease cannot tolerate a protein called gluten. Common symptoms include diarrhea, increased appetite, bloating, weight loss, irritability and fatigue. Gluten is found in wheat (including spelt, triticale, and kamut), rye, barley and sometimes oats.

Cholestasis
Cessation or suppression of bile flow.

Chronic (Chronicity)
Usually referring to chronic illness: Illness extending over a long period of time.

Clotting Factors (Clotting Factor)
Substances in the bloodstream, especially vitamin K, that are important in the process of blood clotting. Prolonged bleeding is produced when these substances are absent.

Cystic Fibrosis
(CF) An incurable genetic disease involving a sticky buildup of mucus in the lungs (which makes breathing difficult and leads to infections), as well as pancreatic insufficiency (which leads to digestive problems). Symptoms include chronic cough producing thick mucus, excessive appetite combined with weight loss, intestinal disorders, salty sweat/skin and pneumonia. Lung-related problems are the most frequent cause of death. CF is a recessive disease, occurring only when a person inherits two mutated copies of the CF gene - one from each parent. Individuals with CF generally have a life expectancy of about 30 years.

Milligram (mg, Milligrams)
0.001 or a thousandth of a gram.

Prognosis
A prediction (estimate) of the future course and outcome of a disease and an indication of the likelihood of recovery from that disease.

Protein (Proteins)
Compounds composed of hydrogen, oxygen, and nitrogen present in the body and in foods that form complex combinations of amino acids. Protein is essential for life and is used for growth and repair. Foods that supply the body with protein include animal products, grains, legumes, and vegetables. Proteins from animal sources contain the essential amino acids. Proteins are changed to amino acids in the body.

Prothrombin
Protein needed for clotting of the blood.

Vitamin K
Helps the blood clot when the body is injured.




Last updated: Apr 13, 2008


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