Manifestations hématologiques de la carence en vitamine B12: données personnelles et revue de la littérature

Translated title of the contribution: Update of clinical findings in cobalamin deficiency: personnal data and review of the literature

L. Federici, N. Henoun Loukili, J. Zimmer, S. Affenberger, F. Maloisel, E. Andrès*

*Corresponding author for this work

    Research output: Contribution to journalShort surveypeer-review

    36 Citations (Scopus)

    Abstract

    Purpose: During last decades, several progresses have been made in the diagnosis of cobalamin (vitamin B12) deficiency. Routine used of cobalamin standardized assays have potentially modified the frequency and the type of hematologic abnormalities. Current knowledge and key points: Current studies on cobalamin deficiency, including more precise definitions and the description of new etiologies of cobalamin deficiency in adults, as the food-cobalamin malabsorption syndrome, show that hematological abnormalities are generally incomplete compared to historical descriptions of megaloblastic anemia. Nevertheless, they include severe manifestations in 10% of the patients: pancytopenia, severe anemia (hemoglobin < 6 g/dl) or hemolytic anemia and pseudo thrombotic microangiopathy related to cobalamin deficiency. These studies also show the efficacy of new treatment modalities including oral cobalamin administration. Prospects and projects: Future studies will confirm these data with the routine use of the new cobalamin assay: holotranscobalamine and validate the usefulness of oral cobalamin therapy.

    Translated title of the contributionUpdate of clinical findings in cobalamin deficiency: personnal data and review of the literature
    Original languageFrench
    Pages (from-to)225-231
    Number of pages7
    JournalRevue de Medecine Interne
    Volume28
    Issue number4
    DOIs
    Publication statusPublished - Apr 2007

    Keywords

    • Anemia
    • Cobalamin
    • Cobalamin deficiency
    • Leucopenia
    • Macrocytosis
    • Thrombocytopenia

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