动脉和静脉血栓塞栓症与鞭子诱导的维生素B12缺乏症相关
Noor Ul Ain Shahid1, Noman Saleem2, Anisha Dave2
1Internal Medicine, Ameer-ud-Din Medical College/Lahore General Hospital, Lahore, PAK.
Cureus
|June 23, 2025
概括
娱乐性氧化 (鞭子) 的使用可以导致严重的维生素B12缺乏,导致危险的血栓. 这个案例突出了一个年轻的成年人.
科学领域:
- 神经学 神经学
- 血液学 血液学 血液学
- 毒理学 毒理学 毒理学
背景情况:
- 娱乐性氧化 (鞭子) 的使用在年轻成年人中因其高兴效应而增加.
- 氧化滥用与维生素B12缺乏有关,导致各种神经和血液症状.
研究的目的:
- 报告因娱乐性氧化使用引起的维生素B12缺乏导致的动脉和静脉血栓栓塞的病例.
- 要突出诊断挑战和管理这种罕见的并发症.
主要方法:
- 一份病例报告显示,一名31岁的女性出现了类似中风的症状.
- 诊断工作包括神经成像,血管研究,以及对维生素B12,甲基马龙酸和同氨酸的实验室测试.
- 排除常见的血栓形成症和自身免疫原因.
主要成果:
- 患者出现了类似中风的症状,后来诊断出左动脉狭窄/闭塞和肺栓塞.
- 实验室发现显示了严重的维生素B12缺乏症,甲基马龙酸和同类半氨酸水平升高.
- 排除了其他常见的血栓栓塞的原因.
结论:
- 娱乐性氧化使用可以诱导严重的维生素B12缺乏,导致同时发生动脉和静脉血栓栓塞.
- 及时诊断和维生素B12补充对于恢复至关重要.
- 这一案例强调了在患有无法解释的血栓栓塞事件的患者中考虑滥用氧化的重要性.
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