Lathyrism

Lathyrism

Q. 1 An agricultural labourer presented with progressive spastic paralysis is diagnosed of having neurolathyrism. It results from consumption of:

 A Aflatoxin

 B

BOAA

 C

Pyruvic acid

 D

Sanguinarine

Q. 1

An agricultural labourer presented with progressive spastic paralysis is diagnosed of having neurolathyrism. It results from consumption of:

 A

Aflatoxin

 B

BOAA

 C

Pyruvic acid

 D

Sanguinarine

Ans. B

Explanation:

Lathyrism results due to ingestion of chick peas (Lathyrus sativus) containing the excitotoxin beta-N-oxalylamino-l-alanine (BOAA).
Lathyrus sativus is commonly known as ‘Khesari dhal’.
Lathyrism is a neurologic syndrome characterized by the relatively acute onset of pain, paresthesia, and weakness in the lower extremities, progressing to a permanent spastic paraplegia.
Diets containing over 30% of this dhal if taken over a period of 2-6 months will result in neurolathyrism.
 
Ref: Textbook of Preventive and Social Medicine by K Park, 19th edition, Page 512.

 


Q. 2

BOAA is 

 A

Beta-oxalyl amino alanine

 B

Beta-oxalo acetoacetate

 C

Beta-oxalyl aminoacetate

 D

Beta-oxalyl acetylacetate

Ans. A

Explanation:

Ans. is ‘a’ i.e., Beta-oxyaly amino alanine

BOAA stands for Beta-oxalyl-amino alanine.

BOAA causes Lathyrism.

  • Lathyrism is a paralysing disease of humans and animals.

In humans, it affects the nervous system — Neurolathyrism.

  • In animals, it affects the skeletal system —Osteolathyrism

Neurolathyrism

The disease affects young men between 15-45 years.

  • It is characterized by spastic paralysis of lower limbs.

interventions for prevention and control

Vitamin C prophylaxis

Banning the crop

Removal of toxin: Steeping method and Parboiling

Education

Genetic approach

Socio-economic changes


Q. 3 Lathyrism results due to –

 A

Aflatoxin

 B

BOAA

 C

Pyruvic acid

 D

Sanguinarine

Ans. B

Explanation:

Ans. is ‘b’ i.e., BOAA 

  • Lathyrism is caused by Lathyrus sativus, commonly known as “Khesari dhal”.

o The toxin present in Lathyrus seeds has been identified as Beta oxalyl amino alanine (BOAA).


Q. 4

True about lathyrism:   

PGI 09

 A

Caused by Aspergillus flavus

 B

Prevented by parboiling

 C

Sanguinarine is the toxic principle

 D

All

Ans. B

Explanation:

Ans. Patient develops spastic paraplegia


Q. 5

Neurolathyrism is due to ‑

 A

Argemone oil

 B

Jhunjhunia

 C

Khesari dal

 D

None

Ans. C

Explanation:

Ans. is ‘c’ i.e., Khesari dal



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