Cobalamin Deficiency in Elderly Patients: A Personal View
نویسندگان
چکیده
Cobalamin (vitamin B12) deficiency is particularly common in the elderly (>65 years of age) but is often unrecognized because its clinical manifestations are subtle; however, they are also potentially serious, particularly from a neuropsychiatric and hematological perspective. In the elderly, the main causes of cobalamin deficiency are pernicious anemia and food-cobalamin malabsorption. Food-cobalamin malabsorption syndrome is a disorder characterized by the inability to release cobalamin from food or its binding proteins. This syndrome is usually caused by atrophic gastritis, related or unrelated to Helicobacter pylori infection, and long-term ingestion of antacids and biguanides. Management of cobalamin deficiency with cobalamin injections is currently well documented but new routes of cobalamin administration (oral and nasal) are being studied, especially oral cobalamin therapy for food-cobalamin malabsorption.
منابع مشابه
The Syndrome of Food-Cobalamin Malabsorption: A Personal View in a Perspective of Clinical Practice
Until the 1990s, the most common recognised cause of cobalamin deficiency in adults was pernicious anaemia [1]. Thanks to progress made during the last 10-20 years in the understanding of vitamin B12 metabolism, “new” physiopathological concepts have emerged or recognized, including a controversial medical concept entitled food-cobalamin malabsorption (FCM) in Anglo-Saxon literature, also known...
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Vitamin B12 or cobalamin deficiency occurs frequently (> 20%) among elderly people, but it is often unrecognized because the clinical manifestations are subtle; they are also potentially serious, particularly from a neuropsychiatric and hematological perspective. Causes of the deficiency include, most frequently, food-cobalamin malabsorption syndrome (> 60% of all cases), pernicious anemia (15%...
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ورودعنوان ژورنال:
- Current Gerontology and Geriatrics Research
دوره 2008 شماره
صفحات -
تاریخ انتشار 2008