SYMPTOMATIC VITAMIN-E-DEFICIENCY DIAGNOSED AFTER HISTOLOGICAL RECOGNITION OF MYOMETRIAL LIPOFUSCINOSIS

We report a 44-year-old woman in whom intestinal bypass for obesity at age 23 resulted in chronic malabsorption. After hysterectomy for meno rrhagia due to atypical endometrial hyperplasia, the finding of myomet rial lipofuscinosis led to a demonstration of vitamin E deficiency. Vi tamin E supplementation led to an unexpected improvement in the unstea diness of gait and slurring of speech of which she had also complained . We suggest that supplementation with vitamin E should be routine in all patients with persistent severe steatorrhoea.