Cabrerizo-García JL, Sebastián-Royo M, Montes N, Zalba-Etayo B. Subacute combined spinal cord degeneration and pancytopenia secondary to severe vitamin B12 deficiency.
SAO PAULO MED J 2012;
130:259-62. [PMID:
22965368 PMCID:
PMC10619957 DOI:
10.1590/s1516-31802012000400010]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2011] [Revised: 03/28/2011] [Accepted: 07/12/2011] [Indexed: 11/22/2022] Open
Abstract
CONTEXT
Decreased vitamin B12 concentration does not usually result in clinical or hematological abnormalities. Subacute combined spinal cord degeneration and pancytopenia are two serious and rarely displayed consequences that appear in severe deficits.
CASE REPORT
We present the case of a patient with subacute combined spinal cord degeneration and pancytopenia secondary to severe and sustained vitamin B12 deficiency. Such cases are rare nowadays and have potentially fatal consequences.
CONCLUSIONS
Vitamin B12 deficiency should be taken into consideration in the differential diagnosis in cases of blood disorders or severe neurological symptoms. Early diagnosis and treatment can avoid irreversible consequences.
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