高叶酸低维生素B12相互作用综合征
Claudia Cicchini1, Antonio De Magistris1, Alberto Del Sasso1
1Emergency Department, Sandro Pertini Hospital, Rome, Italy.
European journal of case reports in internal medicine
|June 12, 2025
概括
高酸摄入量可以掩盖维生素B12缺乏,导致神经损伤. 对于患有神经症状的患者来说,对维生素B12和叶酸的早期测试至关重要.
科学领域:
- 神经学 神经学
- 血液学 血液学 血液学
- 营养科学 营养科学
背景情况:
- 维生素B12缺乏存在各种血液学和神经学问题,如果不治疗,可能导致不可逆转的损伤.
- 叶酸和维生素B12之间的相互作用可能会使诊断和治疗复杂化.
研究的目的:
- 报告因过度摄入叶酸而导致的维生素B12缺乏病例.
- 突出高叶酸-低维生素B12相互作用的诊断挑战和临床影响.
主要方法:
- 一个病人的病例报告呈现平衡障碍和巨细胞瘤.
- 生物化学分析显示维生素B12缺乏和叶酸水平升高.
- 叶酸和维生素B12之间的病理生理相互作用的审查.
主要成果:
- 患者表现出符合维生素B12缺乏症的症状.
- 在存在维生素B12缺乏的情况下,血清叶酸水平升高表明了高叶酸-低维生素B12相互作用.
- 假设这种相互作用是导致患者维生素B12缺乏的原因.
结论:
- 神经症状需要检测维生素B12缺乏,同时测量叶酸水平.
- 早期诊断和治疗对于预防不可逆转的神经缺陷至关重要.
- 这项研究强调了在诊断维生素B12缺乏时考虑叶酸水平的重要性,特别是在长期服用叶酸补充剂时.
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