一个年轻的男酒鬼患有严重的巨细胞贫血:一个病例报告
Inês Ferreira1, Inês Fiúza M Rua1, Diogo Ramos1
1Internal Medicine, Unidade Local de Saúde São José, Lisbon, PRT.
Cureus
|October 2, 2025
概括
酒精使用障碍 (AUD) 可以导致严重的维生素B12和叶酸缺乏,导致年轻成年人的胰岛素减小. 用维生素补充剂及时治疗和解决AUD对于康复和公共健康至关重要.
科学领域:
- 血液学 血液学 血液学
- 营养科学 营养科学
- 神经学 神经学
背景情况:
- 维生素B12和叶酸缺乏是严重的巨细胞贫血和神经复杂症的已知原因.
- 这些缺陷通常与老年人或营养不良的人有关.
研究的目的:
- 报告一名年轻成年人患有严重的胰岛素缩小症,原因是维生素B12和叶酸缺乏,这是酒精使用障碍 (AUD) 的次要原因.
- 突出AUD作为一个重要的,经常被忽视,导致这些缺陷的年轻人群.
主要方法:
- 一份病例报告显示,一名23岁的男性患有严重的胰岛素缩小症.
- 最初的治疗包括输血红细胞,肌肉内可巴胺和口服叶酸.
- 调查确定了酒精使用障碍 (AUD) 作为其他原因排除后的潜在病因.
主要成果:
- 患者的实验室参数在50天治疗后正常化.
- 酒精使用障碍被确定为维生素缺乏的主要原因.
结论:
- 酒精使用障碍是维生素B12和叶酸缺乏的关键原因,即使在年轻人中也是如此.
- 早期识别和管理AUD对于治疗相关的血液和神经症状至关重要.
- 需要采取公共卫生措施,解决年轻人中AUD流行问题.
相关概念视频
Disorders of Erythrocytes
2.0K
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
2.0K
Diseases of the Liver and Gallbladder
1.9K
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
1.9K
Chronic Kidney Disease II: Clinical Manifestations
555
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
555
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
185
In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
185
Chronic Kidney Disease I: Introduction
565
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
565
Inborn Errors of Metabolism
697
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
697


