Complete set of individual data on cases of hypervitaminosis A reported in scientific literature (Table was last updated fall 2002). For details se Myhre et al. “Water-miscible, emulsified, and solid forms of retinol supplements are more toxic than oil-based preparations”. Am J Clin Nutr, 2003, 78 (in press) Acute hypervitaminosis A Symptoms Age Database Sex Dose Time Physical Did Country were 1 2 3 4 5 6 7 8 (years) (ID #) (mg/kg) (days) form of the suppl intoxication suppl. contain occurred vit D? References 0-2 95 3.8 1 India xx Gomber & Chellani 1996 Indian Pediatr 33:1053-1055 0-2 96 3.5 1 India x Gomber & Chellani 1996 Indian Pediatr 33:1053-1055 0-2 97 3.8 1 India xx Gomber & Chellani 1996 Indian Pediatr 33:1053-1055 0-2 174 M 18.8 1 Yes France xx 0-2 175 M 15.0 1 Yes France xx Marie & See 1954 J Dis Child 87:731-736 0-2 176 F 19.1 1 Yes France xx Marie & See 1954 J Dis Child 87:731-736 0-2 178 M 17.5 1 France xx 0-2 207 M 4.9 1 USA xx x x Marie & See 1954 J Dis Child 87:731-736 Marie & See 1954 J Dis Child 87:731-736 Rothman & Knudson 1953 Amer J Dis Child 85:316-334. xxx 0-2 213 M 8.9 2 Yes Germany xxx 0-2 214 F 4.9 2 Yes Netherlands x x Hooft 1954 Maandschrift voor Kindergeneeskunde 22:271-279 0-2 215 F 4.6 1 Yes Netherlands x x Hooft 1954 Maandschrift voor Kindergeneeskunde 22:271-279 0-2 216 F 10.0 1 Yes Netherlands xx 0-2 217 M 5.0 1 Netherlands x 0-2 243 M 21.4 1 solid Yes France x 0-2 260 M 18.0 1 solid No France xx 0-2 262 M 12.0 1 em/w-misc. Yes Spain x 0-2 263 F 24.0 1 em/w-misc. Yes Spain xx 0-2 264 F 24.0 1 em/w-misc. Yes Spain x 0-2 265 M 15.0 1 em/w-misc. Yes Spain xxx 0-2 266 F 17.1 1 in oil Yes Spain x Ferraro 1953 Acta Pediatr Esp 11:350-352. 0-2 267 F 24.0 1 em/w-misc. Yes Spain x Ferraro 1953 Acta Pediatr Esp 11:350-352 0-2 268 F 28.5 1 Yes Spain xx Garcia 1951 Acta Pediatr Esp 8:1448-1449 0-2 269 F 24.0 1 Spain x 0-2 270 M 21.4 1 Yes Spain 0-2 271 M 25.5 1 Yes Spain em/w-misc. Ehrengut 1955 Zeitschrift für Kinderheilkunde 77:468-482. Hooft 1954 Maandschrift voor Kindergeneeskunde 22:271-279 x Hooft 1954 Maandschrift voor Kindergeneeskunde 22:271-279 Marie & See 1951 Arch Franc Pediat 8:563-565 x x Marie & See 1951 Arch Franc Pediat 8:563-565 Moreno 1959 Acta Pediatr Esp 17:304-306 x Garcia-Pelayo 1952 Acta Pediatr Esp 10:946-947 Outón & Outón 1954 Acta Pediatr Esp 12:480-481 x x Garcia-Pelayo.D.R. Acta Pediatr Esp 1954;12:478-479 x Rodriguez 1952 Acta Pediatr Esp 10:648-651 x x Moreno 1952 Acta Pediatr Esp 10:938-945. xx x Moreno 1952 Acta Pediatr Esp 10:938-945. 0-2 272 F 18.2 1 Yes Spain xx Moreno 1952 Acta Pediatr Esp 10938-945. 0-2 273 M 23.5 1 Yes Spain x Moreno 1952 Acta Pediatr Esp 10:938-945. 0-2 274 M 21.0 1 Spain xx Moreno 1952 Acta Pediatr Esp 10938-945. 0-2 275 M 15.0 1 Yes Spain xx Moreno 1952 Acta Pediatr Esp 10938-945. 0-2 276 F 13.3 1 em/w-misc. Yes Spain xx 0-2 277 M 14.0 1 em/w-misc. Yes Spain xx Outón 1953 Acta Pediatr Esp 11:122-125 0-2 284 F 8.6 1 solid Yes France x Demoulin 1953 Rev Med Liege. 8:310-314 0-2 285 F 8.6 1 solid Yes France xx 0-2 286 M 10.0 1 solid Yes France x 0-2 287 M 11.1 1 solid Yes France x x x Hamza & Helioui-Gavrilenko 1957 La Tunisie Medicale 45:623-626 0-2 288 13.5 1 solid Yes France xx x 0-2 289 F 29.2 1 solid Yes France xx x 0-2 290 M 18.8 1 solid Yes France xx x 0-2 291 M 15.0 1 solid Yes France xx 0-2 292 F 19.1 1 solid Yes France xx Marie & See 1951 Arch Franc Pediat 8:563-565 0-2 294 M 8.6 1 em/w-misc. Yes Spain xx Garcia & Sánchez de Puerta 1953 Acta Pediatr Esp 11:667-668 0-2 295 F 10.9 1 em/w-misc. Yes Spain xx 0-2 296 F 11.5 1 in oil Yes Spain xx 0-2 297 M 7.8 1 em/w-misc. Yes Spain xx Garcia & Sánchez de Puerta 1953 Acta Pediatr Esp 11:667-668 0-2 298 F 8.7 1 in oil Yes Spain xx Garcia & Sánchez de Puerta 1953 Acta Pediatr Esp 11:667-668 0-2 299 F 12.0 1 em/w-misc. Yes Spain xx Garcia & Sánchez de Puerta 1953 Acta Pediatr Esp 11:667-668 0-2 300 F 12.0 1 in oil Spain xx 0-2 303 F 21.4 1 Italy xx Marinoni & Paninzon 1954 Acta Pediatrica Latina 7:309-317 0-2 306 M 15.0 1 Italy x Marinoni & Paninzon 1954 Acta Pediatrica Latina 7:309-317 0-2 307 M 6.4 1 Italy x Marinoni & Paninzon 1954 Acta Pediatrica Latina 7:309-317 3-6 45 F 16.7 1 USA xxxxx 3-6 302 M 8.0 1 Italy xx > 16 59 F 6.3 1 South Africa xx > 16 194 F 37.6 1 Sri Lanka xx > 16 195 M 16.0 1 USA xx Yes in oil Yes in oil Shark liver Yes x x Perez 1953 Acta Pediatr Esp 11:931-936. x Demoulin 1953 Rev Med Liege. 8:310-314 Demoulin 1953 Rev Med Liege. 8:310-314 Fleury 1952 Arch Franc Pediat 9:1061-1062 x Marie & See 1951 Arch Franc Pediat 8:563-565 x Marie & See 1951 Arch Franc Pediat 8:563-565 x x Garcia & Sánchez de Puerta 1953 Acta Pediatr Esp 11:667-668 x x Caruana & Hamza. Arch Franc Pediat 10:982-983 x Garcia & Sánchez de Puerta 1953 Acta Pediatr Esp 11:667-668 Garcia & Sánchez de Puerta 1953 Acta Pediatr Esp 11:667-668 x x James et al.1982 Pediatrics 69:112-115 Marinoni & Paninzon Acta Pediatrica Latina 7:309-317 x x Furman 1973 Am J Clin Nutr. 26:575-577 x Misbah et al. 1984 J Neurol Neurosurg Psychiatry 47:216- x x LaMantia & Andrews South Med J 74:1012-1014 Chronic hypervitaminosis A Symptoms Age (years) Database ID # Sex Dose Time Physical Did suppl. Country were (mg/kg) (days) form of the Contain the intoxication suppl. vitamin D? occurred Chicken 0.3 913 liver USA xxxxx 0-2 5 M 0-2 9 M 1.1 60 em/w-misc. Yes Sweden x x 0-2 10 M 1.2 25 em/w-misc. Yes Sweden x xx 0-2 11 F 3.2 50 em/w-misc. Yes Sweden x xxx x x Persson et al.1965 Acta Pædiatrica Scandinavica 54:49-60 0-2 12 M 0.8 75 em/w-misc. Yes Sweden x x x x Persson et al. 1965 Acta Pædiatrica Scandinavica 54:49-60 0-2 13 F 0.8 98 em/w-misc. Yes Sweden xx 0-2 27 M 0.6 Yes USA xxxxx 0-2 48 F 1.6 120 mixed USA xx x x Mahoney et al. 1980 Pediatrics 65:893-897 0-2 49 F 2.3 120 mixed USA xx x x Mahoney et al. 1980 Pediatrics 65:893-897 0-2 62 F 1.7 210 in oil USA x xx 0-2 76 M 1.3 365 Yes USA xx xx x x Siegel & Spackman 1972 Clin Pediatr (Phila.) 11:580-584 0-2 77 F 1.0 270 No USA xx x x Siegel & Spackman 1972. Clin Pediatr (Phila.) 11:580-584 0-2 98 12.0 30 Italy xx 0-2 99 M 12.9 11 USA xxxxx x x Bush & Dahms Arch Pathol Lab Med. 108:838-842 0-2 100 M 2.0 150 USA x xx x x Gamble & Ip 1985 J Pediatr Orthop 5:219-221 0-2 101 M 0.8 90 USA xx xx x x Scherl et al. 1992 Cutis. 50:209-210 0-2 144 M 9.6 1020 in oil USA x xx x x Josephs 1944 Am J Dis Child 67:33-43 0-2 155 M 13.4 686 in oil 0-2 162 M 0.9 15 em/w-misc. 0-2 164 M 1.8 275 0-2 181 F 3.9 0-2 182 F 7.1 0-2 183 F 0-2 184 M em/w-misc. em/w-misc. Yes x Reference x x Carpenter et al. 1987 J Pediatr 111:507-512 x x Persson et al. 1965 Acta Pædiatrica Scandinavica 54:49-60 x x x Persson et al. 1965 Acta Pædiatrica Scandinavica 54:49-60 x Persson et al. 1965 Acta Pædiatrica Scandinavica 54:49-60 x x x Lippe et al. 1981 Am J Dis Child 135:634-636 Ruby & Mital 1974 J Bone Joint Surg [Am] 56:1283-1287 x Gangemi et al. 1985 Acta Neurol (Napoli) 7:27-31 USA xxxxx x x Toomey & Morisette 1947 Am J Dis Child 73:473-480 USA xx x x Eid et al. 1990 J Pediatr Gastroenterol Nutr 10:265-269 Sri Lanka x xxx x Lamabadusuriya 1993 Ceylon Med J 38:44 in oil Yes USA x xx x x Caffey 1950 Pediatrics 5:672-687 270 in oil Yes USA x xx x x Caffey 1950 Pediatrics 5:672-687 18.8 183 in oil Yes USA xx x Caffey 1950 Pediatrics 5:672-687 5.4 450 in oil Yes USA x xx x Caffey 1950 Pediatrics 5:672-687 0-2 185 M 7.1 165 in oil Yes USA 0-2 186 M 2.3 210 in oil Yes USA 0-2 187 M 5.2 510 in oil Yes USA xx 0-2 197 M 1.4 100 em/w-misc. Yes Norway x 0-2 199 F 12.2 270 in oil 0-2 201 F 0.8 510 in oil Yes USA x 0-2 202 M 3.0 548 in oil Yes USA xx 0-2 203 F 6.6 in oil USA xxx 0-2 204 F 3.2 75 in oil USA xxxx x x Arena et al. 1951 J Pediatrics 8:788 0-2 208 M 5.4 120 USA xx xx x x Woodard et al. 1961 Pediatr 59:260-264 0-2 237 M 4.0 150 in oil USA xx xx x x Rothman & Leon 1948 Radiology 51:368-374 0-2 238 F 2.5 60 in oil Yes USA xx xx x x Rothman & Leon 1948 Radiology 51:368-374 0-2 239 F 5.0 458 in oil Yes USA x 0-2 240 F 13.3 548 in oil Yes USA xxxxx 0-2 241 F 5.1 365 in oil Yes USA x 0-2 242 M 2.7 180 Yes China 0-2 278 M 0.4 13 em/w-misc. France x Olives et al. 1984 Arch Fr Pediatr 41:637-640 0-2 279 M 1.1 7 em/w-misc. France x Olives et al. 1984 Arch Fr Pediatr 41:637-640 0-2 280 F 0.2 13 em/w-misc. France x 0-2 281 F 0.2 19 em/w-misc. France x Olives et al. 1984 Arch Fr Pediatr 41:637-640 0-2 282 M 0.2 em/w-misc. France x Olives et al. 1984 Arch Fr Pediatr 41:637-640 0-2 283 M 1.5 90 em/w-misc. Yes France xxxxx 0-2 293 F 2.1 225 em/w-misc. Yes Switzerland x 0-2 309 F 2.1 105 em/w-misc. Italy xx x 0-2 310 F 2.7 150 Italy x xx 3-6 4 M 0.3 em/w-misc. Chicken 1095 liver 3-6 15 M 0.2 912 3-6 19 M 2.2 0 in oil x USA x x x Caffey 1950 Pediatrics 5:672-687 x x x Caffey 1950 Pediatrics 5:672-687 xx xxx xxxx xxx xx x xxx xx x xx x x Caffey 1950 Pediatrics 5:672-687 x x Drablos & Slordahl Acta Pædiatrica Scandinavica 48:507-513 x Naz 1952 N Engl J Med 246:87-89 x x Berrey 1950 Pediatrics 6:78-85 x x Gribetz et al.1951 Pediatrics 7:372-385 x x Gribetz et al. 1951 Pediatrics 1951;7:372-385 x x Costello 1951 Hyperostosis 9:1831-1833 x x Dickey & Bradley 1948 Stanford Medical Bulletin 6: Reyersbach et al. 1952 Pennsylvania Medical Journal 55:933x 934 x Okubo 1961 Shonika Kiy 7:373- Olives et al. 1984 Arch Fr Pediatr 41:637-640 x Gottrand et al.1986 Arch Fr Pediatr 43:501-502 Frontali 1952 Dchweiz Med Wschr 82:430x Varveri 1967 Infanzia 64:27-38 x x Scianaro & Loiodice Minerva Pediatr 30:1531-1534 USA x x x x x x x x Carpenter et al. 1987 J Pediatr 111:507-512 No USA xx xx x Farris & Erdman 1982 JAMA 247: 13> 16 Yes USA x xx x Frame et al. 1974 Ann Intern Med 80:44-48 3-6 20 M 1.0 120 3-6 26 M 4.6 3-6 31 F 3-6 33 3-6 Yes USA x 63 USA xxxxx 0.4 180 USA x F 1.0 450 Belgium 47 F 2.4 180 3-6 53 F 1.1 3-6 61 F 1.5 3-6 63 M 0.6 3-6 65 M 0.7 180 3-6 68 M 1.0 173 3-6 78 F 1.4 365 3-6 79 F 1.6 120 3-6 84 F 1.9 60 3-6 87 F 0.8 3-6 91 M 0.5 60 3-6 103 M 0.4 365 3-6 104 F 3.4 365 mixed 3-6 108 M 0.2 730 in oil 3-6 109 F 3.6 90 3-6 117 F 0.6 3-6 118 F 3-6 148 3-6 No x Frame et al. 1974 Ann Intern Med 80:44-48 x x Lippe et al. 1981 Am J Dis Child 135:634-636 Marcus et al. 1985 Ann Ophthalmol 17(7):397-402 xx x x Noseda et al. 1985 J Clin.Gastroenterol. 7:344-349 Denmark xx xxx x Kjaergaard et al. 1983 Ugeskr Laeger 145:3663-3665 300 USA x xxx x Morrice & Havener 1960 JAMA 173:1802-1805 1643 mixed USA xx USA xx USA xx USA x USA xx No Belgium x Lombaert & Carton 1976 Eur Neurol 14: 340-350 No Ethiopia x Alemayehu 1995 Ethiop Med J 33:265-270 em/w-misc. uncertain USA mixed Yes USA x Rubin et al. 1970 Am J Dis Child 119:132-138 Sharieff.G.Q.& Hanten.K. Ann Emerg Med 1996 x xx x Wieland et al. 1971 Lancet 1: 698x Seibert et al. 1981 Pediatr Radiol 10:173-174 x Lascari & Bell 1970 Clin Pediatr (Phila.) 9: 627-628 xx USA Yes x x x xx x x Witzleben 1986 Pediatr Pathol 6:481-484 x x Fumich & Essig 1983 Am J Sports Med 11:34-37 x x x Silverman & Lecks 1982 Clin Pediatr (Phila.) 21:172-174 USA xxxx x Rosenberg et al. 1982 Clin Pediatr (Phila.) 21:435-440 France x x x x x x x Doireau et al. 1996 Arch Pediatr 3:888-890 France xx x 1369 USA x x x x x Morrice & Havener 1960 JAMA 173:1802-1805 1.1 300 USA xx xx x x Morrice & Havener 1960 JAMA 173:1802-1805 M 0.4 365 Yes USA x xx 149 M 0.1 1825 Yes Israel x x Miller & Hayon 1985 AJR Am J Roentgenol 144:767-768 Schurr et al. 1983 Journal of Pediatric Gastroenterology & x Nutrition 2:705-707 3-6 152 M 1.8 180 No USA xx x Smith 1964 O.M & O.P 17:305-307 3-6 166 F 2.6 12 Yes India xx x x Narayanan et al. 1972 Neurol India 20:231-232 3-6 167 M 0.6 365 No USA xxxxx x Patel et al. 1988 CMAJ 139:755-756 3-6 172 M 1.9 30 Denmark xx xx x x Mikkelsen et al. 1974 Acta Neurol Scand 50:642-650 3-6 173 M 1.9 30 Denmark x x 3-6 190 M 2.3 730 Germany xx xx xx x Turck et al. 1981 Lille Med 26:173-174 x Mikkelsen et al.1974 Acta Neurol Scand 50:642-650 x x Ammann et al. 1968 Helv Paediatr Acta 23:137-146 3-6 212 M 1.5 365 solid USA x xx 3-6 236 M 0.6 365 USA xx xx x x Wason & Lovejoy 1982 Am J Dis Child 136:174 > 16 6 F 0.1 2190 No Switzerland xx x No Switzerland xx xx x x Theiler et al. 1994 Clin Rheumatol 13(2): 293-298. Theiler et al. 1993 Schweiz Med Wochenschr 123(51-52): x x 2405-2412. > 16 7 F 0.1 420 solid > 16 8 F 0.3 150 mixed USA xxx > 16 14 F 0.4 1460 Australia > 16 16 M 2.3 280 USA x > 16 17 F 0.5 1278 USA x > 16 18 F 0.8 1095 Yes USA xx xx x x Fisher & Skillern 1974 JAMA 227: 1413-1414 > 16 21 M 0.2 360 Yes USA x x x x Frame et al. 1974. Ann Intern Med 80(1): 44-48. > 16 22 F 1.4 60 No England xx > 16 23 M 0.2 USA x xx > 16 24 F 1.4 90 USA xx x > 16 25 F 0.8 365 Israel x > 16 28 F 0.1 USA xx > 16 32 F 1.4 em/w-misc. USA x > 16 34 F 0.3 unknown USA xx > 16 35 F 0.7 solid USA x > 16 37 M 0.3 mix England > 16 38 F 0.5 365 em/w-misc. Denmark > 16 39 F 0.2 9125 em/w-misc. Denmark > 16 40 M 0.2 2373 USA > 16 41 F 0.1 90 > 16 42 M 0.3 1825 > 16 43 M 0.7 > 16 44 M 0.2 2190 > 16 46 M 0.9 730 > 16 50 F 3.0 1825 USA x x x Russell et al. 1974 N Engl J Med 291(9): 435-440. > 16 51 M 1.6 2920 USA xx x Russell et al. 1974 N Engl J Med 291(9): 435-440. 3102 Beef liver 600 em/w-misc. No No Yes USA USA x Kane.1952 Arizona Medicine 5:29-39 x x x Ellis et al. 1986 Ann Intern Med 105(6): 877-879. xx x Farrell et al. 1977 Am J Dig Dis 22(8): 724-728. xx x Feldman & Schlezinger 1970 Arch Neurol 22: 1-7 x Feldman & Schlezinger 1970 Arch Neurol 22: 1-7 x x x Guarascio et al. 1983. J Clin Pathol 36(7): 769-771. x Inkeles et al. 1986 Am J Med 80: 491-496 x x Inkeles et al. 1986. Am J Med 80(3): 491-496. x Krausz et al.1978 Isr J Med Sci 14: 858-861 x Marcus et al. 1985 A. Ann Ophthalmol 17(7): 397-402. x x x Muggia 1992. J Natl Cancer Inst 84(18): 1444-1445. xx x x Ragavan et al. 1982 Am J Med Sci 283(3): 161-164. x x x Restak 1972 J Nerv Ment Dis 155: 72-75. x x xx xx xx x No authors listed 1982 Nutr Rev 40(10): 303-305. x Avnstorp et al. 1983. Ugeskr Laeger 145(47): 3663-3665. xx x x Avnstorp et al. 1983. Ugeskr Laeger 145(47): 3663-3665. x xx x x x Babb & Kieraldo 1978 West J Med 128(3): 244-246. x Baxi & Dailey. West J Med 137: 429-431 x Jacques et al. 1979 Gastroenterology 76(3): 599-602. South Africa x x x x x x x x Hofman et al. 1978 S Afr Med J 54: 579-580 Yes USA xxxxx No USA x x x x x x x Katz & Tzagournis 1972 Metabolism 21: 1171-1176. x x Davidson 1984 South Med J 77: 200-203 > 16 52 M 0.6 USA x > 16 54 M 0.2 > 16 55 F > 16 56 > 16 3650 Canada x x Minuk et al. 1988 . Hepatology 8(2): 272-275. 0.2 3650 Canada x x Minuk et al. 1988 . Hepatology 8(2): 272-275. M 0.04 1095 Canada xx Minuk et al. 1988 . Hepatology 8(2): 272-275. 57 F 2.6 1095 USA xxxxx > 16 60 F 1.0 USA x > 16 64 F 0.1 Australia x > 16 66 F 1.1 1825 Switzerland > 16 67 F 1.0 180 Brazil > 16 69 M 2.1 730 > 16 70 F 1.6 5475 > 16 71 F 0.7 > 16 72 F 0.7 > 16 73 F 0.7 > 16 74 F 1.3 > 16 75 M > 16 80 > 16 No xx x xx xx x x x Smith 1989 Postgrad Med 85(4): 53-4. 56. x Di Benedetto 1967. JAMA 201(9): 700-702. Jowsey & Riggs 1968 J Clin Endocrinol Metab 28(12): 1833x 1835. Wettstein & O'Neill 1998 Aust Fam Physician 27 Suppl 1:S556: S55-S56 Burgi et al. 1985 Schweiz Med Wochenschr 115(15): 526-528. x de Menezes et al. 1984 J Periodontol 55(8): 474-476. France x x x x x x x Baglin et al. 1986 Ann Med Interne (Paris) 137: 142-146 France x solid France x solid France 4380 solid France x solid France x 1.0 3650 em/w-misc. Algerie F 0.2 180 No Belgium x 81 F 1.5 730 No Belgium x > 16 82 F 0.5 120 > 16 83 F 0.2 10950 > 16 85 F 0.6 > 16 86 M 0.1 > 16 88 M 1.0 1460 > 16 90 F 0.5 365 > 16 92 F 0.4 1460 em/w-misc. France > 16 105 M 1.0 365 Belgium > 16 110 F 1.0 912 em/w-misc. > 16 111 F 1.5 56 em/w-misc. 90 90 solid x solid Yes Maroy etal. 1989. Presse Med 18(11): 567-570. x USA x China x Maroy et al. 1989. Presse Med 18(11): 567-570. x x x x Maroy et al. 1989. Presse Med 18(11): 567-570. Verneau et al. 1984. Gastroenterol Clin Biol 8(2): 121-125. Lombaert & Carton. 1976. Eur Neurol 14(5): 340-350. USA India No x x China x x Belaiche et al. 1990 . Rev Med Liege 45(8): 381-389. x x Maroy etal. 1989. Presse Med 18(11): 567-570. x USA solid x x x Lombaert & Carton 1976 Eur Neurol 14: 340-350 x x x x x Park et al. 1985. Clin Nucl Med 10(5): 364-366. x x x x Eaton 1978. Am J Hosp Pharm 35(9): 1099-1102. Warren 1973 Lepr Rev 44: 220-222 Warren 1973 Lepr Rev 44: 220-222 x Schiller & Goldstein 1988 Am J Med 84(2): 372-373. Gupta & Kumar. 1974. J Assoc Physicians India. 22(11): 865x x x x x 868. Bioulac-Sage et al. 1988 Arch Pathol Lab Med 112(5): 505x 509. x x Netherlands x Netherlands xx Jorens et al. 1992 Liver 12: 381-386. x x x x x Jennekens & Veelen1966 Presse Med 74: 2925-2928 Turck et al. 1981 Lille Med 26: 173-174 > 16 112 F 0.7 2555 Belgium x xx > 16 113 F 1.1 4380 France > 16 114 F 1.0 1095 Belgium xxxxx > 16 115 F 0.4 150 France xx > 16 116 F 0.5 1095 France x > 16 119 F 0.8 30 solid No France x xx > 16 120 F 0.7 120 solid No France x x x x Causse & Paliard. Gastroenterol Clin Biol 13(5): 526-527. > 16 121 F 0.7 30 solid No France x x x Danan et al. 1984 Gastroenterol Clin Biol 8(10): 770-771. > 16 122 F 0.7 29 solid No France xx x x Danan et al. 1984 Gastroenterol Clin Biol 8(10): 770-771. > 16 123 F 0.5 15 solid No France x x x Danan et al. 1984 Gastroenterol Clin Biol 8(10): 770-771. > 16 124 F 0.9 117 solid > 16 125 F 0.4 70 solid > 16 128 F 0.5 22 > 16 129 F 0.7 > 16 130 F > 16 131 > 16 x x x x Parent 1969 Bull Soc Belge Ophtalmol 152:596-603596-603. x Le Marchand et al. 1984 Gastroenterol Clin Biol 8(2): 116-120. x x Zolenko et al. 1987 Acta Clin Belg 42(1): 43-47 Drouet & Valance 1998 Rev Neurol (Paris) 154(3): 253-256. x Degott & Potet 1984 Arch Anat Cytol Pathol 32(1): 56. x x Atttali et al. 1986 Gastroenterol Clin Biol 10: 92 France xx xx No France x x x Larrey et al. 1988 Gastroenterol Clin Biol 12(3): 240-244. solid No France x xx x Larrey et al. 1988. Gastroenterol Clin Biol 12(3): 240-244. 60 solid No France x x Larrey et al. 1988. Gastroenterol Clin Biol 12(3): 240-244. 0.9 56 solid No France x xx x Larrey et al. 1988. Gastroenterol Clin Biol 12(3): 240-244. F 0.2 112 solid No France x x x Larrey et al. 1988. Gastroenterol Clin Biol 12(3): 240-244. 132 F 0.6 120 solid No France x x x Larrey et al. 1988. Gastroenterol Clin Biol 12(3): 240-244. > 16 133 F 0.7 77 solid No France x x x Larrey et al. 1988. Gastroenterol Clin Biol 12(3): 240-244. > 16 134 F 0.6 1460 solid No France x > 16 135 F 0.4 330 solid No France xx x Dubois et al. 1991. Rev Med Interne. 12(4): 295-298. Prudent et al. 1988 Ann Gastroenterol Hepatol (Paris) 24(1): x 27. > 16 136 F 0.7 21 solid No France x x x Jean-Pastor et al. 1986 J Toxicol Clin Exp 6(2): 115-121. > 16 138 F 0.4 15 solid No France > 16 139 F 0.2 10 solid No France > 16 140 F 0.5 7 solid No France > 16 141 F 0.9 730 solid No France > 16 142 M 4.0 25 em/w-misc. > 16 143 F 0.5 730 > 16 145 M 0.3 3650 > 16 146 M 7.8 90 solid x x x Marti et al. 1986 Gastroenterol Clin Biol 10(12): 853. x Jean-Pastor et al. 1986 J Toxicol Clin Exp 6(2): 115-121. x x Jean-Pastor et al. 1986 J Toxicol Clin Exp 6(2): 115-121. x Jean-Pastor et al. 1986 J Toxicol Clin Exp 6(2): 115-121. xx x xx x x Jean-Pastor et al. 1986 J Toxicol Clin Exp 6(2): 115-121. USA xx x x Hillmann 1956 Am J Clin Nutr 4(6): 603-608. USA x Yes USA xx xx x x Hatoff et al. 1982. Gastroenterology 82(1): 124-128. No England x x x Leitner et al. 1975. Proc Nutr Soc 34(2): 44A-45A. x x x x x Stimson 1961 N Engl J Med 265: 369-373 McCance-Katz & Price 1992. Psychosomatics 33(1): 1> x x 16118. xx x x Shaw & Niccoli 1953 Ann Intern Med 39: 131-134 147 F 0.1 730 USA > 16 150 M 1.0 60 USA > 16 151 F 0.02 730 > 16 153 F 0.3 2920 USA xxxxx > 16 154 F 0.6 3650 Australia xxx > 16 156 M 0.2 2555 USA > 16 157 F 0.4 2900 France > 16 158 F 0.9 365 France > 16 160 M 0.3 45 > 16 161 M 0.2 > 16 163 F 0.4 > 16 165 F > 16 169 > 16 solid in oil x xx > 16 x Columbia Yes x x Shmunes 1979 Arch Dermatol 115(7): 882-883 Bergen & Roels 1965 American Journal of Clinical Nutrition x x 16265-269. x x x x Teo et al. 1973. Med J Aust 2(7): 324-326. xx x Weber et al. 1982 Gastroenterology 82(1): 118-123. x Zafrani et al. 1984 Human Pathology 15(12):1166-1170 x Zafrani et al. 1984 Human Pathology 15(12):1166-1170 USA xx USA x 180 USA xx xx 0.1 2190 Switzerland xx x F 0.8 600 USA xxxxx x x Muenter et al. 1971 Am J Med. 50: 129-135 170 F 1.1 2920 USA xxxxx > 16 171 M 0.2 5475 France > 16 180 M 13.2 22 em/w-misc. x x Muenter etal. 1971 Am J Med 50129-135. Croquet et al. 2000 Eur J Gastroenterol Hepatol 12(3): 361x 364. Goeckenjan et al. 1972 Dtsch Med Wochenschr 97: 1424x x 1429 > 16 188 F 16.7 21 em/w-misc. > 16 189 F 0.3 > 16 192 F > 16 193 > 16 in oil em/w-misc. x Fishbane et al 1995 Am J Kidney Dis 25(2): 346-349. x x x Fishbane et al 1995 Am J Kidney Dis 25(2): 346-349. x Marino & Iacolucci 1987 J Am Osteopath Assoc 87: 563-565 x x Romero et al. 1996 Bull Hosp J Dis 54(3): 169-174 Germany xx x No Germany xx x x x x Leicht et al. 1973 Med Klin 68: 54-59. 1095 em/w-misc. No Germany 0.5 450 No Denmark F 0.02 1460 Germany 196 M 0.1 730 USA x > 16 200 M 0.2 1095 USA xx x > 16 205 F 0.4 1460 USA x x x x x x Bifulco 1953 New England Journal of Medicine 248690-692. > 16 206 F 0.6 210 USA xxxxx > 16 209 F 2.5 3103 USA xx > 16 211 M 6.1 49 Germany x > 16 218 F 0.4 2190 Denmark xx em/w-misc. No x x x Tholen et al. 1980 Leber Magen Darm. 10: 193-197 x x Hamann & Avnstorp. 1982. Hautarzt 33(10): 559-561. x Lucke et al. 1993 Med Klin 88(11): 668-669. x Vollbracht & Gilroy 1976. Can J Neurol Sci 3: 59-61 x x Bloch 1955. Minnesota Med 38627-632. x x Soler-Bechara & Soscia. 1963. Arch Intern Med 112462-466. x x x x x Gerber et al.1954 Am J Med. 16: 729-745 Fleischmann et al. 1977. Dtsch Med Wochenschr p:1021637x x x 1640. x x x Baadsgaard & Thomsen 1983 Dan Med Bull 30: 51-52. > 16 226 F 0.8 1460 USA > 16 227 F 0.02 3650 USA > 16 228 F 2.7 550 > 16 229 M 0.9 550 > 16 232 F 0.8 824 em/w-misc. USA x x x Creek et al. 1958 Amer J Gastroent 29: 169-172 > 16 233 M 0.8 854 em/w-misc. USA x x Creek et al. 1958 Am J Gastroent 29169-172. > 16 234 M 0.8 2190 x x Creek et al. 1958 Amer J Gastroent 29169-172. > 16 235 F 1.8 365 > 16 301 M 1.6 365 No x Fedotin 1970 JAMA 212: 628x x Oren & Ilan 1992 Am J Med 93703-704. USA x x x x x x Sulzberger & Lazar 1951. JAMA 146(9): 788-793. USA x x USA em/w-misc. x x Denmark Spain x Turtz & Turtz. Am J Opthal 165-166 x x x Raaschou-Nielsen 1961 Dermatologica 123: 293-300 xx Lorente 1991 Revista Clinica Espanola 18972-73. Teratogenic cases Dose Time Physical Age (years) ID # Sex (mg/kg) (days) form Vit D Country Reference >16 >16 >16 >16 >16 1 2 3 58 311 F F F F F Excluded cases Age (years) ID # >16 3-16 >16 3-16 3-16 0-2 >16 0-2 >16 0-2 0-2 0-2 0-2 312 30 36 89 94 106 137 93 179 198 219 220 221 222 0.7 0.1 0.7 0.1 0.2 22 90 35 90 30 in oil mixed Sweden No USA No Belgium England Yes Italy Sex Reason for exclusion Country F F F M F F F F M F F F F Unknown dose Unknown dose Unknown dose Unknown dose Unknown dose Unknown dose Unknown dose No symptoms No symptoms Group study Unknown dose Dose uncertain Unknown dose Unknown dose Italy USA Japan USA USA USA France USA USA Sweden USA USA USA USA Stange et al. 1978 Acta Obstet Gynecol Scand 57(3): 289-291. Bernhardt et al. 1974 Obstet Gynecol 43(5): 750-755. Lennep et al. 1985 Prenatal diagnosis 535-40. Evans & Hickey-Dwyer 1991 Br J Ophthalmol 75(11): 691-692 Pilotti & Scorta 1965 Minerva Ginecol 17(22): 1103-1108. References Pilotti 1975 Minerva Pediatr 27(11): 682-684. Marcus et al. 1985 Ann Ophthalmol 17(7):397-402 Nagai et al. 1999 Journal of Hepatology 31:142-148 Bennett et al. 1977 JAMA 238(16):1749-50 Bergman et al. 1988 Nephron 50:362-364 Kumar et al. 1992 Orthopaedic review 21(1): 67-70 Jean-Pastor et al. 1986 J Toxicol Clin Exp 6(2):115-121 O'Brien 1995 Trop Geogr Med 47:183-184 Krause 1965 Am. J Clin Nutr 16(6):455-457 Tunell & Persson 1961 Nordisk Medicin 30. November Pease 1962 JAMA 182(10):980-985 Pease 1962 JAMA 182(10):980-985 Pease 1962 JAMA 182(10):980-985 Pease 1962 JAMA 182(10):980-985 0-2 0-2 0-2 0-2 0-2 223 224 225 230 231 304 305 F F M M M M M 0-2 3-16 >16 >16 0-2 >16 0-2 308 107 210 136 244 191 177 M F M F M F M Unknown dose Dose uncertain Dose uncertain Dose uncertain Dose uncertain Missing sex and age Missing sex and age Uncertain dose and exposure Extreme dose Extreme dose Unknown dose Uncertain condition Uncertain condition Uncertain condition USA USA USA USA USA Italy Italy Pease 1962 JAMA 182(10):980-985 Pease 1962 JAMA 182(10):980-985 Pease 1962 JAMA 182(10):980-985 Fried & Grand Am J Dis Child p:475-486 Fried & Grand Am J Dis Child p:475-486 Marinoni & Panizon 1954 Acta Paediatrica Latina 7(3):309-317 Marinoni & Panizon 1954 Acta Paediatrica Latina 7(3):309-317 Italy India Germany France France Germany France Brusa Instituto Clinica Pediatrica Milano De Francisco 1995 Tropical Doctor 25:287 Földi et al. 1976 Dtsch Med Wschr 101:205-207 Mounoud et al. 1975 J Genet hum 23(2):135-154 Marie &See 1951 Séance du 20 fevrier Haupt 1977 Nervenarzt 48:91-95 Marie & See Am J Dis Child p: 731-736 Footnotes: Dose is givens as the daily dose per kg bodyweight (mg retinol/kg). Time is the length of intake in days. The physical form of the vitamin A supplement given as “in oil”. “solid”, emulsified/water-miscible (“em/w-misc”) or “mixed”. Symptom group 1 = nervous system and vision Symptom group 2 = gastrointestinal system Symptom group 3 = vascular system Symptom group 4 = musculoskeletal system Symptom group 5 = skin and hair Symptom group 6 = urogenital system Symptom group 7 = deteriorating state of health Symptom group 8 = serum biomarkers.