The authors report a case of deficient sensory
neuropathy secondary to vitamin B12 deficiency, diagnosed in the neurology
department of the Sino-Central African
Friendship University Hospital in Bangui. The diagnosis was made possible by
electroneuromyography which showed subclinical neurological damage associated
with hematological damage (anemia). Through this observation, we recall the
diagnostic criteria of the disease in a context of difficult medical practice.
References
[1]
Lindenbaum, J., Rosenberg, I., Wilson, P., et al. (1994) Prevalence of Cobalamin Deficiency in the Framingham Elderly Population. The American Journal of Clinical Nutrition, 60, 2-11. https://doi.org/10.1093/ajcn/60.1.2
[2]
Dali-Youcef, N. (2009) An Update on Cobalamin Deficiency in Adults. QJM, 102, 17-28. https://doi.org/10.1093/qjmed/hcn138
[3]
Loup-Leuciuc, A., Loup, P.J., Lombardi, T. and Samson, J. (2011) Vitamin B12 Deficiency (Part 1): Focust. Médecine Buccale Chirurgie Buccale, 17, 211-224. https://doi.org/10.1051/mbcb/2011127
[4]
Loukili, N.H., Noel, E., Blaison, G., Goichot, B., Kaltenbach, G., Rondeau, M., et al. (2004) Current Data on Biermer’s Disease: About a Retrospective Study of 49 Observations. Revue de Médecine Interne, 25, 556-561. https://doi.org/10.1016/j.revmed.2004.03.008
[5]
Maamar, M., Tazi-Mezalek, Z., Harmouche, H., Ammouri, W., Zahlane, M., Adnaoui, M., et al. (2006) Neurological Disorders due to Vitamin B12 Deficiency: Retrospective Study of 26 Cases. Revue de Médecine Interne, 27, 442-447. https://doi.org/10.1016/j.revmed.2006.01.012
[6]
Brown, D.L. (2003) Vitamin B12 Deficiency. American Family Physician, 67, 979-986.
[7]
Mayer, R.F. (1965) Peripheral Nerve Function in Vitamin B12 Deficiency. Archives of Neurology, 13, 355-362. https://doi.org/10.1001/archneur.1965.00470040021003
[8]
Puri, V., Chaudhry, N., Goel, S., Gulati, P., Nehru, R. and Chowdhury, D. (2004) Vitamin B12 Deficiency: A Clinical and Electrophysiological Profile. Electromyography and Clinical Neurophysiology, 45, 273-284.
[9]
Saperstein, D.S., Wolfe, G.I., Gronseth, G.S., Nations, S.P., Herbelin, L.L., Bryan, W.W., et al. (2003) Challenges in the Identification of Cobalamin-Deficiency Polyneuropathy. Archives of Neurology, 60, 1296-1301. https://doi.org/10.1001/archneur.60.9.1296
[10]
Andrès, E., Mecili, M. and Ciobanu, E. (2010) Oral Vitamin B12 in the Era of Evidence-Based Medicine. Médecineth érapeutique, 16, 5-11.