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The implications of hyperhomocysteinemia in a patient with type 1 diabetes
H R van Leeuwen-Wintjens1, E E Muls
1Afdeling Endocrinologie, Metabolisme en Voeding, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium.
Acta Clinica Belgica
|December 23, 1998
Abstract:
We present a patient with type 1 diabetes mellitus, who had severe, progressive macrovascular disease despite an optimal control of modifiable risk factors. Screening for other risk factors revealed a markedly elevated plasma homocysteine level, that was secondary to pernicious anemia. The biological and clinical implications of this association are discussed.