Vitamin A deficiency

E4_VIT_A_DEF

ascorbic acid deficiency: A condition due to a dietary deficiency of ascorbic acid (vitamin C), characterized by malaise, lethargy, and weakness. As the disease progresses, joints, muscles, and subcutaneous tissues may become the sites of hemorrhage. Ascorbic acid deficiency frequently develops into scurvy in young children fed unsupplemented cow's milk exclusively during their first year. It develops also commonly in chronic alcoholism. (Cecil Textbook of Medicine, 19th ed, p1177)

Suggest a new description

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E50
  • Hospital discharge: ICD-9 264
  • Hospital discharge: ICD-8 260
  • Cause of death: ICD-10 E50
  • Cause of death: ICD-9 264
  • Cause of death: ICD-8 260

2 out of 7 registries used, show all original rules.

168

4. Check minimum number of events

None

168

5. Include endpoints

None

168

6. Filter based on genotype QC (FinnGen only)

168

Control definitions (FinnGen only)

Control exclude
E4_NUTRIDEF

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E50-E64
Name in latin
Deficientia vitamini A

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 1746 1131 591
Only index persons 1302 892 410
Unadjusted period prevalence (%)
Whole population 0.03 0.03 0.02
Only index persons 0.03 0.03 0.02
Median age at first event (years)
Whole population 65.53 63.81 68.82
Only index persons 58.80 56.29 64.25

-FinnGen-

Key figures

All Female Male
Number of individuals 168 111 57
Unadjusted period prevalence (%) 0.03 0.04 0.03
Median age at first event (years) 52.04 43.46 68.75

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
150
Matched controls
1498
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E50.9
ICD-10 Finland
Vitamin A deficiency, unspecified
+∞
88.5
76
*
E50.0
ICD-10 Finland
Vitamin A deficiency with conjunctival xerosis
+∞
32.5
30
*
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
22.6
19.5
28
15
D50.9
ICD-10 Finland
Iron deficiency anaemia, unspecified
9.7
18.4
39
52
H03BB01
ATC
carbimazole; oral
12.3
16.9
31
31
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
16.7
14.6
23
16
H03AA01
ATC
levothyroxine sodium; systemic
3.7
11.2
61
235
D50.0
ICD-10 Finland
Iron deficiency anaemia secondary to blood loss (chronic)
11.9
11.2
20
19
D64.9
ICD-10 Finland
Anaemia, unspecified
5.0
10.6
36
89
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
117.8
10.6
11
*
A10AB05
ATC
insulin aspart; parenteral (insulins and analog. for injection, fast-acting)
7.1
10.2
25
41
E66.8
ICD-10 Finland
Other obesity
58.9
9.8
11
*
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
7.6
9.6
22
33
E66.01
ICD-10 Finland
Obesity due to excess calories
23.5
9.5
13
6
E50.7
ICD-10 Finland
Other ocular manifestations of vitamin A deficiency
+∞
9.5
9
*
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
3.1
8.5
58
256
I50.9
ICD-10 Finland
Heart failure, unspecified
3.6
8.3
41
143
A10AC01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate-acting)
5.3
8.0
24
52
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
47.5
7.8
9
*
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
4.1
7.6
30
86
T89
ICPC
Diabetes insulin dependent
9.5
7.2
14
16
E66.00
ICD-10 Finland
Metabolic syndrome
14.7
7.0
11
8
103
Kela drug reimbursment
Diabetes, insulin-treated
2.9
6.9
49
217
E89.00
ICD-10 Finland
Postirradiation hypothyroidism
42.0
6.8
8
*
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.6
6.7
64
335
A10AE04
ATC
insulin glargine; parenteral
4.4
6.5
23
59
26000
ICD-8 Finland
Vitamin A deficiency, Night blindness
+∞
6.3
6
*
E10.9
ICD-10 Finland
Type 1 diabetes mellitus, Without complications
6.9
6.0
14
22
104
Kela drug reimbursment
Thyroid insufficiency
4.2
6.0
22
59

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
65
304
2.86
9.43
3.5
1.9
3.6
3.0
mg/l
0.90
60
263
91
580
2.24
6.16
8.0
5.9
2.6
2.7
%
0.19
86
538
92
593
2.22
6.01
8.3
6.0
26.1
27.9
%
0.82
87
556
38
167
2.65
5.93
2.1
2.0
14.9
21.0
%
2.22
32
143
88
562
2.19
5.83
7.9
5.9
0.6
0.6
%
0.14
83
522
95
632
2.16
5.60
7.3
5.6
1.8
1.9
e9/l
0.33
86
570
59
328
2.23
5.45
5.4
4.0
—
—
—
0
0
93
621
2.11
5.34
7.3
5.6
0.0
0.0
e9/l
0.11
84
551
89
585
2.11
5.33
8.0
5.7
59.5
57.4
%
0.85
84
551
25
94
2.95
5.19
2.5
2.9
73.0
65.1
e9/l
0.59
18
75
81
518
2.09
5.17
4.4
4.2
34.1
35.5
g/l
1.51
74
490
92
618
2.08
5.14
7.3
5.6
0.6
0.6
e9/l
1.00
84
546
75
472
2.06
4.95
8.5
8.0
1.2
1.2
inr
0.00
21
145
19
64
3.22
4.73
3.4
4.4
—
—
—
0
0
47
254
2.18
4.56
2.0
1.7
398.1
465.3
pmol/l
1.35
40
207
93
646
1.98
4.54
7.6
6.2
0.2
0.2
e9/l
0.19
87
578
7
6
12.09
4.31
4.0
1.7
19.0
33.7
umol/l
—
7
6
58
350
2.00
4.16
5.1
3.9
—
—
—
0
0
13
37
3.72
4.14
2.2
1.8
17.2
7.3
iu/l
—
6
14
24
102
2.58
3.96
4.0
5.2
—
—
—
0
0
42
230
2.10
3.89
2.0
1.7
1058.7
1167.9
nmol/l
0.30
34
172
98
720
1.87
3.79
9.2
9.2
4.7
4.1
e9/l
1.12
91
634
21
88
2.58
3.56
8.0
4.7
2.1
0.4
%
—
10
23
79
551
1.82
3.54
7.5
5.0
1.2
1.2
mmol/l
0.46
67
504
71
482
1.82
3.45
10.1
3.8
48.2
33.0
ng/l
0.41
48
321
89
651
1.78
3.34
6.9
5.7
10.0
10.4
umol/l
0.21
84
618
19
79
2.58
3.27
8.5
4.7
0.9
0.3
%
—
7
16
62
414
1.79
3.13
6.6
5.8
—
—
—
0
0
19
82
2.49
3.04
8.6
4.8
0.1
0.1
%
—
8
22
27
141
2.09
2.80
1.5
1.4
—
—
—
0
0
70
497
1.70
2.79
2.2
1.9
115.6
93.2
pmol/l
2.23
44
258
20
93
2.31
2.74
1.9
3.1
60.8
76.8
ng/l
0.75
12
86
28
150
2.04
2.72
1.8
1.4
—
—
—
0
0
117
957
1.73
2.70
7.7
3.9
15.6
14.7
pmol/l
2.96
104
854
13
49
2.79
2.69
3.0
4.4
—
—
—
0
0
5
7
7.32
2.56
1.0
1.4
—
—
—
0
0
26
140
2.01
2.49
2.8
1.6
—
—
—
0
0
117
968
1.69
2.48
9.7
6.7
89.3
75.1
u/l
1.70
111
895
17
79
2.28
2.34
8.9
4.9
0.9
0.4
%
—
7
20
114
945
1.64
2.32
5.4
4.1
15.3
11.8
mm/h
1.52
106
860
28
159
1.91
2.31
42.2
24.2
1.5
1.2
inr
—
6
19
55
383
1.65
2.28
7.4
2.1
136.6
246.7
u/l
1.07
50
365
47
317
1.67
2.20
4.3
3.1
774.1
244.0
mg/l
0.32
32
209
19
96
2.10
2.15
20.3
2.4
5.0
8.7
ug/l
0.48
13
84
19
99
2.04
2.00
5.5
3.3
—
—
—
0
0
7
22
3.27
1.90
1.0
6.7
—
—
—
0
0
5
12
4.26
1.83
1.2
1.1
—
—
—
0
0
5
12
4.26
1.83
2.4
1.9
28.0
31.3
pg
—
5
12
8
29
2.84
1.81
1.1
1.1
—
—
—
0
0
59
443
1.51
1.71
3.1
3.2
2.3
2.4
mmol/l
2.60
50
386
16
83
2.03
1.71
1.3
1.2
—
—
—
0
0
47
337
1.55
1.68
5.4
3.8
9.5
8.4
mg/mmol
0.11
33
219
6
19
3.23
1.67
7.5
2.4
—
—
—
0
0
43
306
1.54
1.59
1.9
1.5
16.9
22.4
nmol/l
1.84
38
253
39
272
1.56
1.57
7.4
4.2
—
—
—
0
0
52
389
1.49
1.52
4.6
2.2
—
—
—
0
0
9
38
2.44
1.48
1.3
1.4
—
—
—
0
0
39
277
1.53
1.45
2.0
1.8
1.1
1.3
mg/l
0.35
32
223
41
297
1.50
1.39
2.0
2.8
9559.3
7890.0
umol/l
0.06
35
248
6
23
2.67
1.38
4.7
3.9
61.2
60.3
%
—
6
23
6
23
2.67
1.38
4.5
3.0
5.3
4.7
e9/l
—
6
23
27
178
1.62
1.37
1.8
2.1
96.1
140.3
ug/g
0.61
22
141
53
411
1.42
1.27
5.0
3.0
—
—
—
0
0
5
19
2.68
1.22
1.2
1.1
—
—
—
0
0
129
1169
1.45
1.20
8.6
4.6
1.8
1.9
mu/l
0.20
118
1043
25
168
1.57
1.18
1.4
1.2
—
—
—
0
0
5
20
2.54
1.16
1.6
1.2
—
—
—
0
0
7
30
2.39
1.14
1.1
1.2
—
—
—
0
0
19
121
1.64
1.11
1.3
1.1
—
—
—
0
0
5
21
2.42
1.10
1.4
1.3
—
—
—
0
0
16
98
1.70
1.08
4.6
2.3
8.2
10.3
g/l
1.76
16
88
31
224
1.47
1.07
5.9
3.1
30.1
115.5
ng/l
1.41
23
172
16
99
1.68
1.04
1.8
1.4
—
—
—
0
0
11
61
1.86
1.01
2.7
2.3
—
—
—
0
0
45
353
1.38
0.99
4.4
2.8
6.3
7.4
mmol/l
0.94
39
298
10
54
1.91
0.99
23.3
6.9
—
—
—
0
0
7
36
1.98
0.98
1.3
1.2
—
—
—
0
0
38
291
1.40
0.97
1.8
1.3
1.9
2.6
g/l
1.16
23
174
24
169
1.49
0.94
1.5
1.4
304.0
594.7
titre
—
5
45
49
395
1.34
0.91
3.6
3.4
7.4
7.4
ph
1.75
14
76
23
164
1.47
0.85
3.5
1.8
—
—
—
0
0
6
31
1.97
0.85
1.2
1.1
5.8
10.0
u/l
—
6
26
76
858
0.79
0.76
5.5
3.7
—
—
—
0
0
12
76
1.62
0.74
1.4
1.1
—
—
—
0
0
44
361
1.30
0.72
4.6
3.4
—
—
—
0
0
135
1273
1.31
0.66
26.9
13.3
26.2
23.6
mg/l
0.24
114
997
63
546
1.25
0.66
1.8
2.0
—
—
—
0
0
123
1150
1.26
0.63
7.5
5.2
43.8
39.6
mmol/mol
2.36
110
1063
12
80
1.54
0.61
1.3
1.4
—
—
—
0
0
6
38
1.60
0.55
7.2
4.0
—
—
—
0
0
6
38
1.60
0.55
1.3
1.2
—
66.0
—
0
5
6
39
1.56
0.53
2.7
2.5
—
—
—
0
0
6
39
1.56
0.53
1.0
1.1
—
—
—
0
0
9
64
1.43
0.52
2.8
1.8
—
—
—
0
0
39
329
1.24
0.51
1.4
1.2
0.5
1.2
u/ml
—
7
95
19
145
1.35
0.51
1.3
1.2
—
—
—
0
0
24
298
0.77
0.51
9.0
3.6
—
—
—
0
0
7
47
1.51
0.48
1.1
1.2
—
—
—
0
0
57
504
1.20
0.48
5.9
3.4
—
—
—
0
0
7
48
1.48
0.47
4.1
2.9
—
—
—
0
0
15
114
1.35
0.42
6.3
3.8
—
—
—
0
0
96
895
1.17
0.42
6.0
4.4
—
—
—
0
0
5
33
1.53
0.41
1.0
1.2
—
—
—
0
0
8
59
1.37
0.41
6.1
2.1
1.0
1.3
%
—
8
59
0
16
0.00
0.41
0.0
1.1
—
—
—
0
0
5
34
1.48
0.40
5.0
5.2
—
—
—
0
0
0
18
0.00
0.40
0.0
1.2
—
—
—
0
0
0
18
0.00
0.40
0.0
1.2
—
—
—
0
0
13
98
1.35
0.39
20.4
5.1
1.6
1.4
mmol/l
0.25
13
98
14
107
1.34
0.38
6.6
3.4
—
—
—
0
0
18
144
1.28
0.37
1.5
1.5
—
—
—
0
0
6
41
1.48
0.36
1.2
1.2
—
—
—
0
0
60
545
1.16
0.36
16.5
9.1
0.0
0.0
e9/l
0.42
53
444
11
82
1.37
0.35
1.0
2.3
—
—
—
0
0
12
91
1.34
0.35
3.9
2.7
—
—
—
0
0
6
45
1.35
0.34
1.2
1.2
—
—
—
0
0
6
46
1.32
0.33
1.2
1.2
—
—
—
0
0
6
46
1.32
0.33
1.2
1.2
—
—
—
0
0
11
83
1.35
0.33
23.5
6.4
—
—
—
0
0
7
53
1.33
0.31
1.3
1.2
—
—
—
0
0
38
337
1.16
0.31
1.6
1.5
—
—
—
0
0
11
84
1.33
0.31
1.3
1.3
34.7
158.8
u/ml
3.98
11
73
133
1286
1.16
0.30
31.6
14.8
139.1
139.6
mmol/l
1.41
128
1238
120
1245
0.87
0.29
5.3
4.7
2.4
2.7
mmol/l
2.51
110
1133
10
128
0.77
0.28
1.7
1.8
—
—
—
0
0
133
1289
1.15
0.27
31.8
14.8
4.0
4.0
mmol/l
0.33
128
1239
8
66
1.22
0.27
4.5
3.7
—
—
—
0
0
12
95
1.28
0.27
1.3
1.2
146.2
117.9
iu/ml
—
5
44
12
96
1.27
0.25
1.4
1.4
—
—
—
0
0
42
460
0.88
0.25
5.9
3.6
71.1
86.7
e6/l
0.13
33
309
32
286
1.15
0.24
8.2
3.9
1.0
1.0
kg/l
—
8
36
0
10
0.00
0.21
0.0
1.1
—
—
—
0
0
0
12
0.00
0.21
0.0
2.3
—
—
—
0
0
0
12
0.00
0.21
0.0
1.0
—
—
—
0
0
0
12
0.00
0.21
0.0
1.3
—
—
—
0
0
23
203
1.15
0.20
1.5
1.7
—
—
—
0
0
118
1214
0.91
0.19
5.4
4.4
6.1
5.8
mmol/l
0.75
107
1096
33
358
0.90
0.16
5.4
2.9
—
—
—
0
0
118
1209
0.92
0.15
4.9
4.2
1.4
1.5
mmol/l
0.98
106
1104
28
256
1.11
0.15
1.9
2.0
—
—
—
0
0
14
123
1.15
0.13
1.3
1.5
—
—
—
0
0
67
645
1.06
0.11
6.4
3.7
0.0
0.0
estimate
0.00
13
114
15
167
0.89
0.11
3.1
3.0
0.8
1.0
ug/l
—
9
118
5
45
1.11
0.10
1.2
1.2
—
—
—
0
0
137
1351
1.08
0.10
13.7
9.8
24.4
24.3
u/l
0.02
131
1292
118
1161
1.05
0.08
22.3
14.4
39.6
39.5
%
0.03
75
865
132
1336
0.94
0.07
20.6
12.2
—
—
—
0
0
9
104
0.86
0.06
1.6
1.3
—
—
—
0
0
120
1214
0.96
0.05
5.0
4.2
4.4
4.7
mmol/l
1.88
109
1119
65
636
1.04
0.05
6.6
3.7
0.0
0.0
estimate
0.00
14
120
17
161
1.06
0.03
1.4
1.9
—
—
—
0
0
65
639
1.03
0.03
8.9
5.1
0.0
0.0
estimate
0.00
14
119
35
358
0.97
0.02
5.4
3.0
0.1
0.3
e6/l
2.25
27
254
45
442
1.02
0.01
2.8
2.8
—
—
—
0
0
134
1333
1.03
0.01
29.6
15.1
77.2
74.5
umol/l
0.49
134
1333
117
1166
1.01
0.00
4.4
3.8
1.4
1.2
mmol/l
1.06
106
1057
23
227
1.02
0.00
1.2
1.3
1.5
11.1
u/ml
—
5
96
33
333
0.99
0.00
4.8
7.2
—
—
—
0
0
35
355
0.98
0.00
7.7
4.0
0.0
0.0
estimate
0.00
14
118
11
112
0.98
0.00
1.2
1.5
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
7
72
0.97
0.00
38.0
4.4
24.4
24.5
mmol/l
—
7
72
0
7
0.00
0.00
0.0
1.3
—
—
—
0
0
0
7
0.00
0.00
0.0
1.4
—
—
—
0
0
0
9
0.00
0.00
0.0
1.0
—
25.5
—
0
9
0
9
0.00
0.00
0.0
2.1
—
—
—
0
0
0
7
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
5
54
0.92
0.00
1.2
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
5
55
0.91
0.00
1.2
1.2
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
2.8
—
5.6
—
0
6
0
6
0.00
0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
0.00
0.0
2.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
39
390
1.00
0.00
5.2
3.1
14.3
52.4
e6/l
1.31
31
290
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
2.0
—
—
—
0
0
5
59
0.84
0.00
1.4
1.8
—
—
—
0
0
0
5
0.00
0.00
0.0
43.8
—
109.4
—
0
5
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
5
49
1.02
0.00
2.4
1.7
—
—
—
0
0
0
5
0.00
0.00
0.0
2.2
—
—
—
0
0

Mortality – FinRegistry

Association

Association between endpoint E4_VIT_A_DEF and mortality.

Females

Parameter HR [95% CI] p-value
E4_VIT_A_DEF 2.193 [1.78, 2.7] < 0.001
Birth year 0.994 [0.99, 1.0] 0.182

During the follow-up period (1.1.1998 — 31.12.2019), 420 out of 942 females with E4_VIT_A_DEF died.

Males

Parameter HR [95% CI] p-value
E4_VIT_A_DEF 2.936 [2.06, 4.18] < 0.001
Birth year 0.986 [0.98, 1.0] 0.004

During the follow-up period (1.1.1998 — 31.12.2019), 282 out of 450 males with E4_VIT_A_DEF died.

Mortality risk

Mortality risk for people of age

years, who have E4_VIT_A_DEF.

N-year risk Females Males
1 0.208% 0.662%
5 1.253% 3.621%
10 2.98% 7.887%
15 5.729% 14.718%
20 10.213% 23.711%

Relationships between endpoints

Index endpoint: E4_VIT_A_DEF – Vitamin A deficiency

GWS hits: 1

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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