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)

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Endpoint definition

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

519972

1. Apply sex-specific rule

None

519972

2. Check conditions

None

519972

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.

170

4. Check minimum number of events

None

170

5. Include endpoints

None

170

6. Filter based on genotype QC (FinnGen only)

163

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 163 107 56
Unadjusted period prevalence (%) 0.03 0.04 0.03
Median age at first event (years) 52.41 43.74 68.97

-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

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
170
Matched controls
1700
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E50.9
ICD-10 Finland
Vitamin A deficiency, unspecified
+∞
98.9
85
*
E50.0
ICD-10 Finland
Vitamin A deficiency with conjunctival xerosis
+∞
36.8
34
*
D50.9
ICD-10 Finland
Iron deficiency anaemia, unspecified
9.3
30.8
43
60
H03BB01
ATC
carbimazole; oral
11.8
29.5
33
34
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
15.6
18.3
30
23
D64.9
ICD-10 Finland
Anaemia, unspecified
5.4
17.5
41
95
H03AA01
ATC
levothyroxine sodium; systemic
3.9
16.0
66
236
D50.0
ICD-10 Finland
Iron deficiency anaemia secondary to blood loss (chronic)
17.2
15.4
24
16
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
13.7
14.6
25
21
E50.7
ICD-10 Finland
Other ocular manifestations of vitamin A deficiency
+∞
13.7
13
*
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
4.1
12.0
39
116
E66.8
ICD-10 Finland
Other obesity
69.9
11.8
13
*
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
5.8
11.6
23
45
A10AB05
ATC
insulin aspart; parenteral
4.8
11.6
29
70
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
3.0
10.7
68
307
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
116.9
10.5
11
*
E66.01
ICD-10 Finland
Obesity due to excess calories
9.9
9.3
18
20
E66.00
ICD-10 Finland
Metabolic syndrome
15.1
8.9
14
10
I50.9
ICD-10 Finland
Heart failure, unspecified
3.0
8.4
44
176
E89.00
ICD-10 Finland
Postirradiation hypothyroidism
47.2
7.8
9
*
26000
ICD-8 Finland
Vitamin A deficiency, Night blindness
+∞
7.3
7
*
A10AE04
ATC
insulin glargine; parenteral
3.5
7.1
26
83
104
Kela drug reimbursment
Thyroid insufficiency
3.7
7.0
24
73
A10AC01
ATC
insulin (human); parenteral
3.5
6.9
26
84
SPAT1262
SPAT
Handing over of treatment supplies
2.9
6.8
36
143
A12AX
ATC
Calcium, combinations with vitamin D and/or other drugs
2.4
6.8
73
411
R50.9
ICD-10 Finland
Fever, unspecified
2.9
6.7
36
145
103
Kela drug reimbursment
Diabetes, insulin-treated
2.5
6.6
54
269
UJF32
NOMESCO Finland
Coloscopy
2.4
6.4
54
272
E66.9
ICD-10 Finland
Obesity, unspecified
18.9
6.3
9
5
RD210, ,
NOMESCO Finland
18.9
6.3
9
5
Z71.3
ICD-10 Finland
Dietary counselling and surveillance
6.2
6.3
16
28
E50.1
ICD-10 Finland
Vitamin A deficiency with Bitot spot and conjunctival xerosis
+∞
6.3
6
*
GD1QA
NOMESCO Finland
Supine thorax X-ray examination
2.6
6.0
40
179

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
67
304
2.99
10.42
3.4
1.9
3.55
3.05
mg/l
0.91
62
262
90
565
2.26
6.36
8.0
5.9
0.61
0.65
%
0.21
85
525
39
168
2.71
6.35
2.2
2.0
14.92
20.84
%
2.22
33
144
90
569
2.24
6.20
20.6
13.7
1.29
1.24
inr
0.17
28
167
97
639
2.21
5.96
7.4
5.6
1.83
1.88
e9/l
0.19
89
580
95
627
2.17
5.73
7.4
5.6
0.04
0.04
e9/l
0.19
86
557
26
95
3.05
5.67
2.4
2.9
74.86
64.37
e9/l
0.88
19
76
83
524
2.14
5.57
4.4
4.2
34.13
35.50
g/l
1.52
76
497
94
625
2.13
5.48
7.5
5.6
0.62
0.57
e9/l
1.05
86
555
59
334
2.17
5.16
5.4
4.0
—
—
—
0
0
48
253
2.25
4.98
2.0
1.7
398.07
466.74
pmol/l
1.39
40
207
95
652
2.04
4.90
7.7
6.1
0.20
0.18
e9/l
0.47
89
584
88
596
1.99
4.63
9.1
6.0
1.22
1.22
mmol/l
0.28
72
507
19
65
3.17
4.61
3.4
4.3
—
—
—
0
0
86
580
1.98
4.56
8.4
6.2
—
—
—
0
0
7
6
12.09
4.31
4.0
1.7
19.00
33.67
umol/l
—
7
6
59
356
2.01
4.24
5.4
3.9
—
—
—
0
0
43
232
2.14
4.15
2.0
1.7
1046.13
1174.76
nmol/l
0.38
35
175
100
725
1.92
4.14
9.3
9.2
4.76
4.10
e9/l
1.22
93
639
22
89
2.69
3.99
8.5
4.6
2.05
0.47
%
1.15
11
32
24
102
2.58
3.95
4.0
5.1
—
—
—
0
0
73
489
1.86
3.76
9.9
3.9
56.33
32.81
ng/l
0.65
50
327
80
556
1.83
3.63
7.5
5.0
1.22
1.22
mmol/l
0.38
69
511
91
661
1.81
3.55
6.8
5.6
9.96
10.43
umol/l
0.23
86
627
13
37
3.72
3.49
2.2
1.8
17.20
7.27
iu/l
—
6
14
20
83
2.60
3.45
9.2
4.8
0.11
0.08
%
—
9
26
19
80
2.55
3.19
8.5
4.7
0.44
0.60
%
—
9
25
28
141
2.18
3.18
1.5
1.4
—
—
—
0
0
13
47
2.91
2.89
3.0
4.5
—
—
—
0
0
71
502
1.71
2.88
2.2
1.9
115.64
92.96
pmol/l
2.27
44
261
119
968
1.76
2.88
7.9
3.9
15.61
14.67
pmol/l
3.14
106
864
27
140
2.10
2.85
2.8
1.6
—
—
—
0
0
28
150
2.04
2.72
1.8
1.4
—
—
—
0
0
18
80
2.40
2.71
9.6
4.8
0.86
0.38
%
—
7
24
20
94
2.28
2.67
1.9
3.1
60.75
76.33
ng/l
0.72
12
87
57
389
1.70
2.59
7.3
2.1
161.83
244.27
u/l
0.65
52
371
5
7
7.31
2.56
1.0
1.4
—
—
—
0
0
116
956
1.67
2.48
5.6
4.1
15.46
11.85
mm/h
1.66
108
871
20
98
2.18
2.43
19.5
2.4
4.68
8.68
ug/l
0.55
14
86
20
98
2.18
2.43
5.3
3.3
—
—
—
0
0
6
13
4.74
2.29
2.2
1.8
26.67
31.62
pg
—
6
13
6
13
4.74
2.29
2.0
2.1
—
—
—
0
0
47
320
1.65
2.11
4.3
3.1
774.09
242.81
mg/l
0.32
32
215
9
31
3.01
2.10
1.3
1.1
—
—
—
0
0
7
20
3.60
2.08
6.6
2.5
—
—
—
0
0
11
44
2.60
2.05
1.5
1.3
—
3.02
—
0
6
10
38
2.73
2.04
1.3
1.4
—
—
—
0
0
61
450
1.55
1.95
3.1
3.1
2.30
2.35
mmol/l
2.59
53
396
12
53
2.36
1.85
18.8
7.7
25.88
24.41
mmol/l
0.38
12
53
5
12
4.26
1.83
1.2
1.1
—
—
—
0
0
7
23
3.13
1.82
1.0
7.0
—
—
—
0
0
44
306
1.59
1.80
1.9
1.5
16.96
22.31
nmol/l
1.85
39
254
56
416
1.52
1.71
4.9
3.0
—
—
—
0
0
16
84
2.00
1.66
1.3
1.2
—
—
—
0
0
47
340
1.53
1.61
5.3
3.6
9.49
9.53
mg/mmol
0.00
33
222
53
394
1.50
1.60
4.6
2.2
—
—
—
0
0
40
281
1.55
1.56
2.1
1.8
1.03
1.28
mg/l
0.37
33
227
42
299
1.54
1.54
2.0
2.7
9298.44
7738.90
umol/l
0.06
36
253
26
169
1.64
1.39
1.3
1.2
—
—
—
0
0
27
179
1.60
1.34
1.8
2.1
96.09
139.20
ug/g
0.59
22
142
6
24
2.55
1.31
4.7
3.8
61.17
60.58
%
—
6
24
6
24
2.55
1.31
4.5
3.0
5.27
4.61
e9/l
—
6
24
11
55
2.07
1.30
21.3
6.8
—
—
—
0
0
17
101
1.76
1.25
4.4
2.4
8.25
10.18
g/l
1.65
17
91
131
1186
1.46
1.24
8.9
4.7
1.81
1.88
mu/l
0.24
120
1060
5
19
2.68
1.22
1.2
1.1
—
—
—
0
0
32
227
1.50
1.19
6.7
3.1
29.27
114.91
ng/l
1.43
24
173
7
31
2.31
1.11
1.1
1.2
—
—
—
0
0
39
293
1.43
1.10
1.8
1.4
1.88
2.55
g/l
1.17
24
177
5
21
2.42
1.10
1.4
1.3
—
—
—
0
0
5
21
2.42
1.10
1.6
1.1
—
—
—
0
0
46
357
1.40
1.08
4.3
2.8
6.35
7.35
mmol/l
0.92
40
304
19
122
1.63
1.08
1.3
1.1
—
—
—
0
0
25
172
1.53
1.07
1.4
1.4
304.00
586.09
titre
—
5
46
24
166
1.52
1.01
3.4
1.7
—
—
—
0
0
11
61
1.86
1.01
2.7
2.3
—
—
—
0
0
5
23
2.21
0.98
1.4
1.6
—
—
—
0
0
7
36
1.98
0.98
1.3
1.2
—
—
—
0
0
16
101
1.64
0.97
1.8
1.4
—
—
—
0
0
50
402
1.35
0.94
3.5
3.4
7.38
7.40
ph
1.76
14
77
65
549
1.30
0.86
1.8
2.0
—
—
—
0
0
6
31
1.97
0.85
1.2
1.1
5.82
10.04
u/l
—
6
26
13
81
1.66
0.84
1.5
1.1
—
—
—
0
0
45
367
1.31
0.77
4.5
3.4
—
—
—
0
0
137
1290
1.32
0.70
27.7
13.2
25.88
23.72
mg/l
0.20
116
1008
125
1164
1.28
0.69
7.5
5.2
43.74
39.59
mmol/mol
2.42
112
1078
78
872
0.81
0.69
5.5
3.7
—
—
—
0
0
12
81
1.52
0.59
1.3
1.4
—
—
—
0
0
8
54
1.50
0.58
6.1
2.1
0.51
0.67
%
—
8
54
8
55
1.48
0.57
1.3
1.2
—
—
—
0
0
6
37
1.64
0.56
7.2
4.0
—
—
—
0
0
6
38
1.60
0.55
1.3
1.2
—
66.00
—
0
5
24
301
0.76
0.55
9.0
3.6
—
—
—
0
0
6
39
1.56
0.53
2.3
2.5
—
—
—
0
0
19
144
1.36
0.53
1.5
1.5
—
—
—
0
0
6
40
1.52
0.52
1.0
1.1
—
—
—
0
0
98
906
1.19
0.50
6.0
4.4
—
—
—
0
0
19
146
1.34
0.49
1.3
1.2
—
—
—
0
0
39
331
1.23
0.49
1.4
1.2
0.51
1.21
u/ml
—
7
96
7
47
1.51
0.48
1.1
1.2
—
—
—
0
0
7
48
1.48
0.47
4.1
2.9
—
—
—
0
0
8
57
1.42
0.43
6.1
2.1
1.04
1.19
%
—
8
57
5
32
1.58
0.42
1.0
1.2
—
—
—
0
0
61
548
1.18
0.42
17.2
9.2
0.00
0.00
e9/l
0.42
54
449
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
39
339
1.20
0.39
1.6
1.5
—
—
—
0
0
9
66
1.38
0.39
2.8
1.8
—
—
—
0
0
13
98
1.35
0.38
20.4
5.1
1.57
1.37
mmol/l
0.25
13
98
6
42
1.44
0.36
1.2
1.2
—
—
—
0
0
11
82
1.37
0.35
23.5
6.5
—
—
—
0
0
15
118
1.30
0.35
6.3
3.7
—
—
—
0
0
6
46
1.32
0.33
1.2
1.2
—
—
—
0
0
14
110
1.30
0.33
6.6
3.3
—
—
—
0
0
135
1303
1.18
0.33
32.1
14.7
139.14
139.66
mmol/l
1.55
130
1254
11
83
1.35
0.33
1.0
2.4
—
—
—
0
0
12
92
1.33
0.33
3.9
2.6
—
—
—
0
0
6
47
1.29
0.32
1.2
1.2
—
—
—
0
0
6
47
1.29
0.32
1.2
1.2
—
—
—
0
0
10
131
0.75
0.32
1.7
1.8
—
—
—
0
0
11
84
1.33
0.31
1.3
1.3
34.73
159.21
u/ml
4.01
11
73
24
204
1.21
0.30
1.5
1.7
—
—
—
0
0
135
1306
1.16
0.30
32.3
14.8
3.97
3.95
mmol/l
0.36
130
1256
33
291
1.17
0.29
8.0
3.9
1.02
1.02
kg/l
—
8
36
12
95
1.28
0.27
1.3
1.2
146.20
115.35
iu/ml
—
5
45
8
67
1.20
0.26
4.5
3.7
—
—
—
0
0
122
1261
0.88
0.26
5.5
4.7
2.45
2.72
mmol/l
2.53
112
1151
12
96
1.27
0.25
1.4
1.4
—
—
—
0
0
119
1231
0.89
0.25
5.5
4.4
6.06
5.84
mmol/l
0.75
108
1113
29
259
1.14
0.22
1.9
2.0
—
—
—
0
0
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
13
0.00
0.21
0.0
1.3
—
—
—
0
0
15
172
0.86
0.16
3.1
2.9
0.81
0.95
ug/l
—
9
123
68
653
1.07
0.13
6.3
3.7
0.00
0.00
estimate
-0.00
13
118
133
1353
0.92
0.12
21.1
12.2
—
—
—
0
0
18
199
0.89
0.12
2.6
2.8
4.60
2.75
e6/l
—
8
110
44
464
0.93
0.12
5.7
3.6
67.20
85.37
e6/l
0.16
35
314
120
1224
0.93
0.12
5.1
4.2
1.43
1.52
mmol/l
1.17
108
1120
14
124
1.14
0.11
1.3
1.5
—
—
—
0
0
139
1369
1.08
0.11
13.9
9.8
24.26
24.35
u/l
0.03
133
1310
5
46
1.09
0.09
1.2
1.2
—
—
—
0
0
5
48
1.04
0.09
2.4
1.7
—
—
—
0
0
5
61
0.81
0.08
1.4
1.8
—
—
—
0
0
41
395
1.05
0.06
5.0
3.1
15.01
51.64
e6/l
1.26
33
295
35
363
0.95
0.05
5.2
2.9
—
—
—
0
0
24
229
1.06
0.04
1.2
1.3
1.47
10.97
u/ml
—
6
97
35
362
0.96
0.04
7.7
4.0
0.00
0.00
estimate
-0.00
14
121
66
647
1.03
0.04
8.8
5.0
0.00
0.00
estimate
-0.00
14
123
66
647
1.03
0.04
6.5
3.7
0.00
0.01
estimate
0.50
14
129
46
449
1.03
0.03
3.1
2.8
—
—
—
0
0
17
161
1.06
0.03
1.4
1.8
—
—
—
0
0
136
1351
1.03
0.02
30.3
15.0
77.30
74.58
umol/l
0.50
136
1351
122
1229
0.97
0.02
5.1
4.2
4.37
4.66
mmol/l
2.03
111
1135
119
1181
1.03
0.02
4.5
3.8
1.41
1.21
mmol/l
1.11
108
1072
33
338
0.97
0.02
4.8
7.2
—
—
—
0
0
11
114
0.96
0.00
1.2
1.5
—
—
—
0
0
10
103
0.97
0.00
1.5
1.2
—
—
—
0
0
144
1437
1.01
0.00
39.1
19.3
38.86
39.73
%
0.83
133
1356
36
363
0.99
0.00
5.3
2.9
0.09
0.33
e6/l
2.21
27
259
0
6
0.00
0.00
0.0
2.0
—
—
—
0
0
0
6
0.00
0.00
0.0
2.0
—
6.65
—
0
6
0
6
0.00
0.00
0.0
2.8
—
5.60
—
0
6
0
6
0.00
0.00
0.0
1.7
—
—
—
0
0
0
6
0.00
0.00
0.0
1.8
—
—
—
0
0
0
8
0.00
0.00
0.0
1.0
—
26.90
—
0
8
0
8
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
1883.67
—
0
6
0
7
0.00
-0.00
0.0
1.9
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.4
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.1
—
—
—
0
0
5
55
0.91
-0.00
1.2
1.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
43.8
—
109.40
—
0
5
7
73
0.96
-0.00
38.0
4.4
24.36
24.50
mmol/l
—
7
73
0
7
0.00
-0.00
0.0
1.3
—
—
—
0
0
5
55
0.91
-0.00
1.2
1.2
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
-0.00
0.0
2.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
2.1
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.4
—
—
—
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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