Seeing Bitot’s spots is pathognomic of vitamin A deficiency.

Check out the papers mentioned

Song P, Adeloye D, Li S, Zhao D, Ye X, Pan Q, Qiu Y, Zhang R, Rudan I; Global Health Epidemiology Research Group (GHERG). The prevalence of vitamin A deficiency and its public health significance in children in low- and middle-income countries: A systematic review and modelling analysis. J Glob Health. 2023 Aug 11;13:04084. Link

Dermnet page on Vitamin A Deficiency by Brian Wu 

Bitot Spots: A Pathognomonic Sign of Vitamin A Deficiency Das, Souvik et al. The American Journal of Medicine, Volume 136, Issue 10, e195 – e196 Link

Management of Bitot Spots.  Umesh Krishna, MD, Sumana J. Kamath, MD, and Madhurima K. Nay­ak, MD
Edited by Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH Dec 2016 EyeNet Magazine.  Link

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