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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Rare Case of Vitamin B12 Deficiency with Ascites
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A Rare Case of Vitamin B12 Deficiency with Ascites

机译：罕见的腹水维生素B12缺乏症

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Vitamin B12 deficiency is widespread than assumed in population. At risk are older people, pregnant women, vegans, patients with renal and intestinal diseases. Vitamin B12 deficiency can present with various hematological, gastrointestinal and neurological manifestations. In the population, the prevalence of vitamin B12 deficiency in younger people is 5% to 7% which is less compared to elderly people. In developing countries, deficiency is much more common, starting in early life and persisting across the life span. Here, we present a 16-year-old female patient presenting with ascites since 2 months who was subsequently investigated and diagnosed to have nutritional megaloblastic anaemia secondary to vitamin B12 deficiency after exclusion of other infective, neoplastic, autoimmune and inflammatory diseases. Inspite, patient was treated with antitubercular drugs but she did not respond. After supplementation of Vitamin B12, ascites responded well. Inadequate intake due to low consumption of animal source foods is the main cause of low serum vitamin B12 in younger adults and likely the main cause in poor population worldwide.
机译：维生素B12缺乏症的普遍程度超出了人群的假设。老年人，孕妇，素食主义者，患有肾脏和肠道疾病的患者处于危险之中。维生素B12缺乏症可表现出多种血液学，胃肠道和神经学表现。在人群中，年轻人中维生素B12缺乏症的患病率为5％至7％，与老年人相比要少一些。在发展中国家，缺乏症从生命的早期开始一直持续到整个生命周期。在这里，我们介绍了一名16岁的女性患者，该患者自2个月以来出现腹水，随后经过调查和诊断，排除了其他传染性，肿瘤性，自身免疫性和炎性疾病后，维生素B12缺乏导致了营养性巨幼细胞性贫血。尽管接受了抗结核药物治疗，但患者没有反应。补充维生素B12后，腹水反应良好。由于动物源性食品的低消耗而导致摄入不足是年轻人血清维生素B12含量低的主要原因，并且很可能是全世界贫困人口的主要原因。

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