A chronic alcoholic patient on high carbohydrate diet develops a deficiency of

(Manganese) (410-H) (449-H17th) Deficiencies of manganese have been reported to result in bone demineralization, poor growth, ataxia, disturbances in carbohydrate and lipid metabolism and convulsion Deficiency and Toxicities of Metals Element Deficiency Toxicity Boron No-biologic function determined Developmental defects, male sterility, testicular atrophy Copper Anemia, growth retardation, defective keratinization and pigmentation of hair, hypothermia, degenerative changes in aortic elastin, osteopenia, mental deterioration. Hepatic failure, tremor, mental deterioration, hemolytic anemia, renal dysfunction Chromium Impaired glucose tolerance* Occupational renal failure dermatitis, pulmonary cancers. Manganese Impaired growth and skeletal development, reproduction, lipid and carbohydrate metabolism: upper body rash General:- Neurotoxicity, Parkinson like symptoms. Occupational:- Encephalitis like syndrome, Parkinson like syndrome, psychosis pneumoconiosis. Molybdenum Severe Neurologic abnormalities Reproductive and fetal abnormalities Selenium Cardiomyopathy, heart failure, striated muscle degeneration General:- Alopecia, abnormal nails, emotional lability, peripheral neuropathy, lassitude, garlic odor to breath, dermatitis. Occupational:- Lung and nasal carcinoma, liver necrosis, pulmonary inflammation.