Vitamin B12 Deficiency Anemia and Polyneuropathy Due to Chronic Radiation Enteritis

被引：4
|
作者：
Fukuda, Hiroyuki [1 ]
Takekuma, Munetaka [2 ]
Hirashima, Yasuyuki [2 ]
机构：
[1] Shizuoka Canc Ctr, Div Neurol, Shizuoka, Japan
[2] Shizuoka Canc Ctr, Div Gynecol, Shizuoka, Japan
来源：
INTERNAL MEDICINE | 2020年 / 59卷 / 06期
关键词：
gynecological cancer; megaloblastic anemia; polyneuropathy; radiation enteritis; vitamin B12 deficiency; MALABSORPTION;
D O I：
10.2169/internalmedicine.3695-19
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 62-year-old Japanese woman developed numbness of the extremities and megaloblastic anemia. She had undergone total abdominal hysterectomy, whole-pelvis radiation therapy and chemotherapy for gynecological cancer 10 years before. Chronic abdominal pain, diarrhea and intermittent small-bowel obstruction had afflicted her for a long time. We diagnosed her with vitamin B12 deficiency anemia and polyneuropathy due to chronic radiation enteritis causing malabsorption. Vitamin B12 injections improved her numbness and anemia. The early diagnosis and treatment of deficiency of vitamin B12 are important. Physicians should regularly measure vitamin B12 levels and supplement vitamin B12 as needed in patients with chronic radiation enteritis.
引用
收藏
页码：859 / 861
页数：3
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