叶酸和维生素B12缺乏在患有常态细胞贫血的患者中的参与
Tatsuya Bando1,2, Masutaka Tokuda1, Itsuro Katsuda1,3
1Department of Hematology, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Fujita medical journal
|May 26, 2023
概括
叶酸和维生素B12缺乏会导致正常细胞性贫血. 检测这些缺陷并考虑维生素替代疗法可能对患有常态细胞贫血的患者有益.
科学领域:
- 血液学 血液学 血液学
- 营养性贫血症是什么
背景情况:
- 叶酸 (FA) 和维生素B12 (VB12) 缺乏是导致宏细胞贫血的常见原因.
- 然而,这些缺陷也可能存在于患有常态细胞贫血的患者中,使诊断和治疗复杂化.
研究的目的:
- 在被诊断患有正常细胞贫血的患者中确定FA和/或VB12缺乏症的患病率.
- 为了评估维生素替代疗法的有效性,在这个患者群体.
主要方法:
- 进行了对电子病历的回顾性审查.
- 分析了来自血液学科的1388名患者和来自福田健康大学医院其他部门的1421名患者的数据.
主要成果:
- 在血液学部门的530名患有常态细胞贫血的患者中,有49人 (9.2%) 患有FA/VB12缺乏.
- 在缺乏血的人中,41%患有血性恶性瘤,55%患有良性血性疾病.
- 在接受维生素替代疗法的9名患者中,有1名患者的血红蛋白度部分改善 (≥1g/dL).
结论:
- 在患有正常细胞贫血的患者中测量FA和VB12度具有临床意义.
- 维生素替代疗法可能是鉴定缺陷的患者的考虑因素.
- 需要进一步的研究来了解潜在的机制和背景疾病的作用.
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